Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.54 / $861.64 / $16,800.00	Facility		$390.54	$861.64	$16,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $390.66 / $421.93	Professional		$348.60	$390.66	$421.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.25 / $428.25 / $826.52	Facility		$428.25	$428.25	$826.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.94 / $428.25 / $590.98	Professional		$421.94	$428.25	$590.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $615.46 / $902.67 / $1,153.22	Facility		$615.46	$902.67	$1,153.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.52 / $902.67 / $1,107.82	Professional		$697.52	$902.67	$1,107.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $820.61	Facility		$502.54	$502.54	$820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $502.54 / $772.77	Professional		$427.16	$502.54	$772.77
United Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $409.40 / $548.30	Professional		$233.65	$409.40	$548.30