Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.76 / $885.76 / $885.76	Facility		$885.76	$885.76	$885.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $885.76 / $1,090.16	Professional		$556.49	$885.76	$1,090.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,393.89 / $1,393.89 / $2,690.21	Facility		$1,393.89	$1,393.89	$2,690.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $1,393.89 / $1,877.84	Professional		$806.67	$1,393.89	$1,877.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $125.05 / $156.32	Facility		$88.58	$125.05	$156.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $119.84 / $140.68	Professional		$104.21	$119.84	$140.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $76.55 / $736.67	Professional		$43.75	$76.55	$736.67