Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $861.30	Facility		$409.90	$409.90	$861.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $420.56 / $491.88	Professional		$409.90	$420.56	$491.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.43 / $770.86 / $861.30	Facility		$680.43	$770.86	$861.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $470.36 / $649.09	Professional		$431.52	$470.36	$649.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.11 / $947.43 / $1,291.95	Facility		$732.11	$947.43	$1,291.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $732.11 / $947.43 / $1,162.76	Professional		$732.11	$947.43	$1,162.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $861.30	Facility		$496.34	$496.34	$861.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $883.53	Professional		$362.33	$362.33	$883.53
United Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $429.70 / $608.74	Professional		$256.07	$429.70	$608.74