Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.57 / $685.57 / $1,385.15	Facility		$685.57	$685.57	$1,385.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.60 / $685.57 / $743.98	Professional		$641.60	$685.57	$743.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,094.27 / $1,239.71 / $1,385.15	Facility		$1,094.27	$1,239.71	$1,385.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.73 / $722.95 / $997.67	Professional		$675.73	$722.95	$997.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.15 / $1,504.64 / $1,939.21	Facility		$1,023.15	$1,504.64	$1,939.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,177.38 / $1,523.67 / $1,869.95	Professional		$1,177.38	$1,523.67	$1,869.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,385.15	Facility		$752.15	$752.15	$1,385.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,420.90	Professional		$549.07	$549.07	$1,420.90
United Facility/Professional Professional Modifier Low / Median / High Price $400.34 / $660.23 / $925.38	Professional		$400.34	$660.23	$925.38