Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.83 / $397.83 / $803.78	Facility		$397.83	$397.83	$803.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.35 / $397.83 / $431.72	Professional		$341.35	$397.83	$431.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.99 / $719.38 / $803.78	Facility		$634.99	$719.38	$803.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $375.02 / $517.52	Professional		$375.02	$375.02	$517.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $544.35 / $843.97 / $1,125.29	Facility		$544.35	$843.97	$1,125.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $683.21 / $884.16 / $1,085.09	Professional		$683.21	$884.16	$1,085.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $803.78	Facility		$400.16	$400.16	$803.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $704.45	Professional		$292.12	$400.16	$704.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,024.66 / $1,024.66 / $1,024.66	Facility		$1,024.66	$1,024.66	$1,024.66
United Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $373.72 / $513.44	Professional		$213.00	$373.72	$513.44