Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.81 / $295.81 / $621.55	Facility		$295.81	$295.81	$621.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.16 / $295.81 / $307.64	Professional		$261.16	$295.81	$307.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.03 / $556.29 / $621.55	Facility		$491.03	$556.29	$621.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $322.36 / $444.85	Professional		$311.41	$322.36	$444.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $659.56 / $870.18	Facility		$448.50	$659.56	$870.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.33 / $683.72 / $839.11	Professional		$528.33	$683.72	$839.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $621.55	Facility		$402.09	$402.09	$621.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $624.64	Professional		$293.52	$402.09	$624.64
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $310.08 / $415.31	Professional		$175.49	$310.08	$415.31