Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.24 / $461.24 / $461.24	Facility		$461.24	$461.24	$461.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $454.24 / $461.24	Professional		$374.22	$454.24	$461.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.20 / $469.20 / $905.56	Facility		$469.20	$469.20	$905.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.18 / $469.20 / $632.10	Professional		$381.18	$469.20	$632.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $91.10 / $946.08	Facility		$49.06	$91.10	$946.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $94.61 / $993.38	Professional		$59.57	$94.61	$993.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $429.00 / $619.34	Professional		$74.40	$429.00	$619.34
United Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $281.47 / $488.24	Professional		$181.46	$281.47	$488.24