Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.54 / $548.54 / $1,152.61	Facility		$548.54	$548.54	$1,152.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.54 / $562.80 / $640.96	Professional		$548.54	$562.80	$640.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.57 / $1,031.58 / $1,152.61	Facility		$910.57	$1,031.58	$1,152.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.47 / $704.17 / $950.62	Professional		$577.47	$704.17	$950.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.47 / $1,267.88 / $1,728.93	Facility		$864.47	$1,267.88	$1,728.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.73 / $1,267.88 / $1,556.04	Professional		$979.73	$1,267.88	$1,556.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,152.61	Facility		$812.21	$812.21	$1,152.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $1,182.35	Professional		$592.91	$812.21	$1,182.35
United Facility/Professional Professional Modifier Low / Median / High Price $383.35 / $575.03 / $866.39	Professional		$383.35	$575.03	$866.39