Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $1,683.11	Facility		$872.08	$872.08	$1,683.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.17 / $872.08 / $1,203.47	Professional		$811.17	$872.08	$1,203.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $83.49	Facility		$64.41	$64.41	$83.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.90 / $872.08 / $872.08	Professional		$435.90	$872.08	$872.08
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,081.38	Professional		$872.08	$872.08	$1,081.38