Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.78 / $465.78 / $978.71	Facility		$465.78	$465.78	$978.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.83 / $465.78 / $484.41	Professional		$417.83	$465.78	$484.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.18 / $875.95 / $978.71	Facility		$773.18	$875.95	$978.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $459.77 / $634.48	Professional		$452.00	$459.77	$634.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,076.58 / $1,378.10	Facility		$734.03	$1,076.58	$1,378.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.90 / $1,076.58 / $1,321.26	Professional		$831.90	$1,076.58	$1,321.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $978.71	Facility		$644.36	$644.36	$978.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $1,003.96	Professional		$470.38	$644.36	$1,003.96
United Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $488.26 / $685.53	Professional		$249.90	$488.26	$685.53