Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $642.54 / $1,350.12	Facility		$642.54	$642.54	$1,350.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.73 / $642.54 / $668.24	Professional		$557.73	$642.54	$668.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.58 / $1,208.35 / $1,350.12	Facility		$1,066.58	$1,208.35	$1,350.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $656.97 / $906.61	Professional		$656.97	$656.97	$906.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.82 / $1,417.63 / $1,890.17	Facility		$957.82	$1,417.63	$1,890.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.59 / $1,485.13 / $1,822.66	Professional		$1,147.59	$1,485.13	$1,822.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,350.12	Facility		$957.73	$957.73	$1,350.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $1,335.64	Professional		$699.14	$957.73	$1,335.64
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $363.80 / $673.56 / $892.87	Professional		$363.80	$673.56	$892.87