Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.94 / $645.94 / $1,305.08	Facility		$645.94	$645.94	$1,305.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.32 / $645.94 / $700.98	Professional		$608.32	$645.94	$700.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.02 / $1,168.06 / $1,305.08	Facility		$1,031.02	$1,168.06	$1,305.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.66 / $705.45 / $973.52	Professional		$636.66	$705.45	$973.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $970.09 / $1,426.60 / $1,827.13	Facility		$970.09	$1,426.60	$1,827.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $1,435.60 / $1,761.87	Professional		$1,109.33	$1,435.60	$1,761.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,305.08	Facility		$713.15	$713.15	$1,305.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.15 / $1,337.02	Professional		$520.60	$713.15	$1,337.02
United Facility/Professional Professional Modifier Low / Median / High Price $379.58 / $622.07 / $872.02	Professional		$379.58	$622.07	$872.02