Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $484.14 / $823.04	Facility		$481.57	$484.14	$823.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.08 / $570.91 / $968.28	Facility		$548.08	$570.91	$968.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.51 / $484.14 / $484.14	Professional		$411.51	$484.14	$484.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $532.54 / $774.62	Facility		$484.14	$532.54	$774.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $508.35 / $677.80	Professional		$484.14	$508.35	$677.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.74 / $484.14 / $484.14	Facility		$469.74	$484.14	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.29 / $484.14 / $876.86	Professional		$353.29	$484.14	$876.86
United Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $484.14 / $484.14	Professional		$481.57	$484.14	$484.14