Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.73 / $816.73 / $816.73	Facility		$816.73	$816.73	$816.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.07 / $816.73 / $835.88	Professional		$538.07	$816.73	$835.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.70 / $843.70 / $1,628.34	Facility		$843.70	$843.70	$1,628.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $843.70 / $1,136.63	Professional		$717.40	$843.70	$1,136.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $160.37 / $1,616.90	Facility		$86.35	$160.37	$1,616.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $166.54 / $1,697.74	Professional		$104.86	$166.54	$1,697.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $775.91 / $1,239.00	Professional		$133.55	$775.91	$1,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.16 / $565.33 / $956.26	Professional		$414.16	$565.33	$956.26