Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.10 / $419.10 / $880.62	Facility		$419.10	$419.10	$880.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $427.48 / $439.43	Professional		$387.48	$427.48	$439.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $788.15 / $880.62	Facility		$695.69	$788.15	$880.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $482.76 / $660.46	Professional		$441.19	$482.76	$660.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.47 / $968.68 / $1,232.86	Facility		$660.47	$968.68	$1,232.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.53 / $968.68 / $1,188.83	Professional		$748.53	$968.68	$1,188.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $880.62	Facility		$589.44	$589.44	$880.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $771.10	Professional		$430.29	$589.44	$771.10
United Facility/Professional Professional Modifier Low / Median / High Price $262.82 / $439.33 / $598.14	Professional		$262.82	$439.33	$598.14