Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.50 / $664.50 / $1,396.26	Facility		$664.50	$664.50	$1,396.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $664.50 / $691.07	Professional		$572.69	$664.50	$691.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.05 / $1,249.65 / $1,396.26	Facility		$1,103.05	$1,249.65	$1,396.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.94 / $699.29 / $965.02	Professional		$694.94	$699.29	$965.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.52 / $1,466.07 / $1,954.76	Facility		$983.52	$1,466.07	$1,954.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,186.82 / $1,535.89 / $1,884.95	Professional		$1,186.82	$1,535.89	$1,884.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,396.26	Facility		$930.44	$930.44	$1,396.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $930.44 / $1,308.82	Professional		$679.22	$930.44	$1,308.82
United Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $690.37 / $923.38	Professional		$384.84	$690.37	$923.38