Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.34 / $520.34 / $1,051.31	Facility		$520.34	$520.34	$1,051.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.33 / $540.35 / $573.38	Professional		$500.33	$540.35	$573.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.53 / $940.92 / $1,051.31	Facility		$830.53	$940.92	$1,051.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $628.75 / $866.13	Professional		$512.86	$628.75	$866.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.48 / $1,156.44 / $1,562.51	Facility		$788.48	$1,156.44	$1,562.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $893.61 / $1,156.44 / $1,419.27	Professional		$893.61	$1,156.44	$1,419.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,051.31	Facility		$740.83	$740.83	$1,051.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $1,078.44	Professional		$540.80	$740.83	$1,078.44
United Facility/Professional Professional Modifier Low / Median / High Price $346.45 / $519.67 / $760.76	Professional		$346.45	$519.67	$760.76