Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.22 / $687.22 / $1,388.47	Facility		$687.22	$687.22	$1,388.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.78 / $687.22 / $745.76	Professional		$580.78	$687.22	$745.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.89 / $1,242.68 / $1,388.47	Facility		$1,096.89	$1,242.68	$1,388.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.05 / $663.62 / $915.79	Professional		$638.05	$663.62	$915.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.17 / $1,457.89 / $1,943.86	Facility		$926.17	$1,457.89	$1,943.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,180.20 / $1,527.32 / $1,874.43	Professional		$1,180.20	$1,527.32	$1,874.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,388.47	Facility		$680.86	$680.86	$1,388.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $1,215.80	Professional		$497.03	$680.86	$1,215.80
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $616.42 / $634.19	Facility		$0.87	$616.42	$634.19
United Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $640.45 / $918.23	Professional		$362.40	$640.45	$918.23