Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.13 / $246.13 / $517.17	Facility		$246.13	$246.13	$517.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $252.53 / $287.60	Professional		$246.13	$252.53	$287.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.57 / $462.88 / $517.17	Facility		$408.57	$462.88	$517.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.11 / $315.95 / $436.02	Professional		$259.11	$315.95	$436.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.23 / $568.90 / $775.77	Facility		$394.23	$568.90	$775.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $568.90 / $698.19	Professional		$439.60	$568.90	$698.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $517.17	Facility		$364.44	$364.44	$517.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $530.53	Professional		$266.04	$364.44	$530.53
United Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $258.02 / $388.75	Professional		$172.01	$258.02	$388.75