Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Professional		$585.04	$585.04	$1,771.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $57.90	Facility		$30.00	$30.00	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.64	Professional		$30.00	$30.00	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.83 / $961.16 / $1,204.88	Facility		$926.83	$961.16	$1,204.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.87 / $1,112.19 / $1,390.24	Professional		$720.87	$1,112.19	$1,390.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $569.40	Professional		$39.60	$39.60	$569.40
United Facility/Professional Professional Modifier Low / Median / High Price $477.97 / $477.97 / $477.97	Professional		$477.97	$477.97	$477.97