Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.19 / $924.24 / $924.24	Facility		$659.19	$924.24	$924.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $924.24	Professional		$915.09	$915.09	$924.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $1,766.12	Facility		$915.09	$915.09	$1,766.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,299.42	Professional		$915.09	$915.09	$1,299.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $1,372.64	Facility		$915.09	$915.09	$1,372.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,052.34	Professional		$915.09	$915.09	$1,052.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,333.78	Professional		$915.09	$915.09	$1,333.78