Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.21 / $495.21 / $1,040.55	Facility		$495.21	$495.21	$1,040.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.97 / $495.21 / $515.01	Professional		$432.97	$495.21	$515.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.03 / $931.29 / $1,040.55	Facility		$822.03	$931.29	$1,040.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.32 / $534.42 / $737.51	Professional		$521.32	$534.42	$737.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.56 / $1,093.48 / $1,456.77	Facility		$743.56	$1,093.48	$1,456.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $884.47 / $1,144.60 / $1,404.74	Professional		$884.47	$1,144.60	$1,404.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,040.55	Facility		$673.11	$673.11	$1,040.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $1,067.40	Professional		$491.37	$673.11	$1,067.40
United Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $519.12 / $695.26	Professional		$290.94	$519.12	$695.26