Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.18 / $374.18 / $786.24	Facility		$374.18	$374.18	$786.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.51 / $381.66 / $406.17	Professional		$361.51	$381.66	$406.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.13 / $703.68 / $786.24	Facility		$621.13	$703.68	$786.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.54 / $444.16 / $612.94	Professional		$383.54	$444.16	$612.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.67 / $864.86 / $1,100.74	Facility		$589.67	$864.86	$1,100.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $668.30 / $864.86 / $1,061.42	Professional		$668.30	$864.86	$1,061.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $786.24	Facility		$456.40	$456.40	$786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $806.52	Professional		$333.17	$456.40	$806.52
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.93 / $392.24 / $577.91	Professional		$242.93	$392.24	$577.91