Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.12 / $363.12 / $763.01	Facility		$363.12	$363.12	$763.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $363.12 / $377.64	Professional		$283.23	$363.12	$377.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.78 / $682.89 / $763.01	Facility		$602.78	$682.89	$763.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $345.85 / $475.82	Professional		$343.70	$345.85	$475.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.96 / $801.16 / $1,068.21	Facility		$495.96	$801.16	$1,068.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.55 / $839.31 / $1,030.06	Professional		$648.55	$839.31	$1,030.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $763.01	Facility		$493.58	$493.58	$763.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $668.12	Professional		$360.31	$493.58	$668.12
United Facility/Professional Facility Modifier Low / Median / High Price $915.61 / $915.61 / $915.61	Facility		$915.61	$915.61	$915.61
United Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $380.66 / $504.60	Professional		$190.33	$380.66	$504.60