Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.30 / $813.30 / $813.30	Facility		$813.30	$813.30	$813.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $862.59 / $1,008.55	Professional		$802.59	$862.59	$1,008.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.49 / $847.00 / $1,634.71	Facility		$790.49	$847.00	$1,634.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.08 / $719.95 / $1,143.45	Professional		$239.08	$719.95	$1,143.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.21 / $1,087.13 / $1,217.58	Facility		$776.21	$1,087.13	$1,217.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $869.70 / $956.67 / $1,174.09	Professional		$869.70	$956.67	$1,174.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.38 / $1,132.38 / $1,565.45	Professional		$900.38	$1,132.38	$1,565.45
United Facility/Professional Professional Modifier Low / Median / High Price $726.62 / $1,040.00 / $1,709.86	Professional		$726.62	$1,040.00	$1,709.86