Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.26 / $386.26 / $811.62	Facility		$386.26	$386.26	$811.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $396.30 / $403.88	Professional		$386.26	$396.30	$403.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.17 / $726.40 / $811.62	Facility		$641.17	$726.40	$811.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $440.91 / $595.22	Professional		$365.96	$440.91	$595.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.01 / $892.78 / $1,217.43	Facility		$612.01	$892.78	$1,217.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.88 / $892.78 / $1,095.69	Professional		$689.88	$892.78	$1,095.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $811.62	Facility		$525.23	$525.23	$811.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $853.90	Professional		$383.42	$525.23	$853.90
United Facility/Professional Professional Modifier Low / Median / High Price $241.14 / $404.90 / $573.67	Professional		$241.14	$404.90	$573.67