Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $512.86	Facility		$141.25	$380.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,023.29	Professional		$562.34	$660.69	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,318.26	Facility		$660.69	$977.24	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $707.95	Professional		$660.69	$660.69	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59