Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.45 / $321.45 / $675.45	Facility		$321.45	$321.45	$675.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $329.81 / $337.69	Professional		$321.45	$329.81	$337.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.61 / $604.53 / $675.45	Facility		$533.61	$604.53	$675.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $405.82 / $547.85	Professional		$338.42	$405.82	$547.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.33 / $743.00 / $1,013.18	Facility		$509.33	$743.00	$1,013.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.13 / $743.00 / $911.86	Professional		$574.13	$743.00	$911.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $675.45	Facility		$436.96	$436.96	$675.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $692.87	Professional		$318.98	$436.96	$692.87
United Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $336.97 / $466.85	Professional		$201.97	$336.97	$466.85