Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $690.18 / $3,374.73	Facility		$690.18	$690.18	$3,374.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $839.19	Professional		$690.18	$690.18	$839.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $57.90	Facility		$30.00	$30.00	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.64	Professional		$30.00	$30.00	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.45 / $1,168.17 / $1,464.39	Facility		$1,126.45	$1,168.17	$1,464.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.13 / $1,351.74 / $1,689.68	Professional		$876.13	$1,351.74	$1,689.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
United Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $525.50 / $525.50	Professional		$525.50	$525.50	$525.50