Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.28 / $354.28 / $354.28	Facility		$354.28	$354.28	$354.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $354.28 / $370.17	Professional		$201.23	$354.28	$370.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.98 / $490.52 / $548.07	Facility		$432.98	$490.52	$548.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $426.29 / $562.70	Professional		$402.88	$426.29	$562.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $422.19 / $745.04	Facility		$54.81	$422.19	$745.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $422.19 / $695.34	Professional		$46.59	$422.19	$695.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Facility		$353.55	$353.55	$464.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $353.55 / $679.32	Professional		$300.52	$353.55	$679.32
United Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $283.55 / $440.69	Professional		$170.16	$283.55	$440.69