Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.26 / $670.26 / $724.96	Facility		$670.26	$670.26	$724.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $717.78	Professional		$663.63	$663.63	$717.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $1,280.81	Facility		$663.63	$663.63	$1,280.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $942.35	Professional		$663.63	$663.63	$942.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $995.45	Facility		$663.63	$663.63	$995.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $796.36	Professional		$663.63	$663.63	$796.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $850.00	Professional		$663.63	$663.63	$850.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $882.63	Professional		$663.63	$663.63	$882.63