Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $682.29 / $682.29	Facility		$682.29	$682.29	$682.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $682.29 / $682.29	Professional		$682.29	$682.29	$682.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.01 / $610.65 / $2,046.87	Facility		$539.01	$610.65	$2,046.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $77.30 / $104.35	Professional		$65.70	$77.30	$104.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $886.98 / $1,330.47	Facility		$682.29	$886.98	$1,330.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $818.75 / $1,023.44	Professional		$682.29	$818.75	$1,023.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $682.29 / $1,520.96	Facility		$443.49	$682.29	$1,520.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $830.91 / $995.52	Professional		$102.04	$830.91	$995.52
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $409.37 / $749.84	Professional		$286.56	$409.37	$749.84