Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.47 / $816.47 / $816.47	Facility		$816.47	$816.47	$816.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $816.47 / $1,004.88	Professional		$516.40	$816.47	$1,004.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.20 / $700.20 / $1,351.39	Facility		$700.20	$700.20	$1,351.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.16 / $700.20 / $1,190.40	Professional		$560.16	$700.20	$1,190.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $123.30 / $152.31	Facility		$82.93	$123.30	$152.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $111.21 / $130.55	Professional		$96.70	$111.21	$130.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $750.60 / $750.60	Professional		$190.49	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $80.83 / $779.90	Professional		$40.57	$80.83	$779.90