Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.34 / $701.34 / $701.34	Facility		$701.34	$701.34	$701.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.44 / $701.34 / $780.79	Professional		$603.44	$701.34	$780.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.76 / $1,011.41 / $1,130.07	Facility		$892.76	$1,011.41	$1,130.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.75 / $904.89 / $1,194.45	Professional		$638.75	$904.89	$1,194.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $847.56 / $1,469.09	Facility		$103.90	$847.56	$1,469.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $750.36 / $1,356.08	Professional		$96.06	$750.36	$1,356.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $542.66 / $1,207.44	Professional		$396.14	$542.66	$1,207.44
United Facility/Professional Professional Modifier Low / Median / High Price $374.11 / $561.16 / $888.52	Professional		$374.11	$561.16	$888.52