Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.99 / $673.99 / $673.99	Facility		$673.99	$673.99	$673.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.85 / $673.99 / $729.90	Professional		$437.85	$673.99	$729.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.28 / $692.28 / $1,336.10	Facility		$692.28	$692.28	$1,336.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $692.28 / $932.63	Professional		$598.29	$692.28	$932.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $130.35 / $1,353.65	Facility		$77.70	$130.35	$1,353.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $135.36 / $1,421.33	Professional		$85.23	$135.36	$1,421.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $546.85 / $913.81	Professional		$81.44	$546.85	$913.81
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $60.22 / $702.62	Professional		$34.01	$60.22	$702.62