Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.01 / $327.01 / $687.12	Facility		$327.01	$327.01	$687.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $327.01 / $340.09	Professional		$284.58	$327.01	$340.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.82 / $614.97 / $687.12	Facility		$542.82	$614.97	$687.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $349.65 / $482.51	Professional		$344.25	$349.65	$482.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.73 / $721.48 / $961.97	Facility		$488.73	$721.48	$961.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $584.04 / $755.83 / $927.61	Professional		$584.04	$755.83	$927.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $687.12	Facility		$444.49	$444.49	$687.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $601.66	Professional		$324.48	$444.49	$601.66
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $342.80 / $459.11	Professional		$191.23	$342.80	$459.11