Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.11 / $667.11 / $1,347.85	Facility		$667.11	$667.11	$1,347.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.07 / $667.11 / $723.94	Professional		$609.07	$667.11	$723.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.80 / $1,206.33 / $1,347.85	Facility		$1,064.80	$1,206.33	$1,347.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.52 / $694.89 / $958.94	Professional		$657.52	$694.89	$958.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $971.29 / $1,428.36 / $1,886.99	Facility		$971.29	$1,428.36	$1,886.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,145.67 / $1,482.64 / $1,819.60	Professional		$1,145.67	$1,482.64	$1,819.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,347.85	Facility		$714.02	$714.02	$1,347.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.02 / $1,256.96	Professional		$521.23	$714.02	$1,256.96
United Facility/Professional Professional Modifier Low / Median / High Price $380.05 / $639.88 / $900.59	Professional		$380.05	$639.88	$900.59