Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.92 / $381.92 / $771.65	Facility		$381.92	$381.92	$771.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $396.61 / $439.79	Professional		$381.64	$396.61	$439.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.60 / $690.63 / $771.65	Facility		$609.60	$690.63	$771.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $469.98 / $648.57	Professional		$376.44	$469.98	$648.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.90 / $848.82 / $1,157.48	Facility		$655.90	$848.82	$1,157.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.90 / $848.82 / $1,041.73	Professional		$655.90	$848.82	$1,041.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $771.65	Facility		$499.17	$499.17	$771.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $499.17 / $791.57	Professional		$364.39	$499.17	$791.57
United Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $384.97 / $568.48	Professional		$256.64	$384.97	$568.48