Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.79 / $617.79 / $1,298.16	Facility		$617.79	$617.79	$1,298.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.79 / $630.16 / $645.98	Professional		$617.79	$630.16	$645.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.55 / $1,161.84 / $1,298.16	Facility		$1,025.55	$1,161.84	$1,298.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $779.93 / $1,076.30	Professional		$650.38	$779.93	$1,076.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.87 / $1,427.98 / $1,947.24	Facility		$978.87	$1,427.98	$1,947.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.44 / $1,427.98 / $1,752.52	Professional		$1,103.44	$1,427.98	$1,752.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,298.16	Facility		$724.63	$724.63	$1,298.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $1,331.65	Professional		$528.98	$724.63	$1,331.65
United Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $647.63 / $891.52	Professional		$385.70	$647.63	$891.52