Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $737.69 / $737.69	Facility		$737.69	$737.69	$737.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.11 / $737.69 / $759.68	Professional		$622.11	$737.69	$759.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.32 / $889.69 / $994.07	Facility		$785.32	$889.69	$994.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.20 / $905.91 / $1,195.80	Professional		$589.20	$905.91	$1,195.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $130.80 / $1,460.57	Facility		$85.02	$130.80	$1,460.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $139.81 / $1,603.33	Professional		$85.02	$139.81	$1,603.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $1,081.38	Professional		$213.94	$251.69	$1,081.38
United Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $397.91 / $795.82	Professional		$259.12	$397.91	$795.82