Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.40 / $742.40 / $821.35	Facility		$742.40	$742.40	$821.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $808.55	Professional		$735.05	$735.05	$808.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.04 / $735.04 / $1,418.63	Facility		$735.04	$735.04	$1,418.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.04 / $735.04 / $1,043.75	Professional		$735.04	$735.04	$1,043.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $1,102.58	Facility		$735.05	$735.05	$1,102.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $845.31	Professional		$735.05	$735.05	$845.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $813.21	Professional		$735.05	$735.05	$813.21
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $981.88	Professional		$735.05	$735.05	$981.88