Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.46 / $492.46 / $492.46	Facility		$492.46	$492.46	$492.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Professional		$487.59	$487.59	$492.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $941.05	Facility		$487.59	$487.59	$941.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $692.37	Professional		$487.59	$487.59	$692.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $731.39	Facility		$487.59	$487.59	$731.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $585.11	Professional		$487.59	$487.59	$585.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $651.32	Professional		$487.59	$487.59	$651.32