Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.36 / $580.36 / $1,172.57	Facility		$580.36	$580.36	$1,172.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.41 / $580.36 / $629.79	Professional		$484.41	$580.36	$629.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.33 / $1,049.45 / $1,172.57	Facility		$926.33	$1,049.45	$1,172.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $553.50 / $763.83	Professional		$532.17	$553.50	$763.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.48 / $1,231.20 / $1,641.60	Facility		$772.48	$1,231.20	$1,641.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,289.83 / $1,582.97	Professional		$996.68	$1,289.83	$1,582.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,172.57	Facility		$567.88	$567.88	$1,172.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,202.82	Professional		$414.55	$414.55	$1,202.82
United Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $550.64 / $749.01	Professional		$302.26	$550.64	$749.01