Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.57 / $388.57 / $816.48	Facility		$388.57	$388.57	$816.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.74 / $388.57 / $404.11	Professional		$345.74	$388.57	$404.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.02 / $730.75 / $816.48	Facility		$645.02	$730.75	$816.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $424.79 / $586.21	Professional		$409.04	$424.79	$586.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.76 / $873.18 / $1,143.07	Facility		$593.76	$873.18	$1,143.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $898.13 / $1,102.25	Professional		$694.01	$898.13	$1,102.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $816.48	Facility		$555.76	$555.76	$816.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $837.54	Professional		$405.70	$555.76	$837.54
United Facility/Professional Professional Modifier Low / Median / High Price $232.33 / $407.33 / $545.52	Professional		$232.33	$407.33	$545.52