Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.64 / $720.64 / $950.87	Facility		$720.64	$720.64	$950.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $784.85	Professional		$713.50	$713.50	$784.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,377.06	Facility		$713.50	$713.50	$1,377.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,013.17	Professional		$713.50	$713.50	$1,013.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,070.25	Facility		$713.50	$713.50	$1,070.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $856.20	Professional		$713.50	$713.50	$856.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $969.00	Professional		$713.50	$713.50	$969.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,609.18 / $1,609.18 / $1,609.18	Facility		$1,609.18	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,212.95	Professional		$713.50	$713.50	$1,212.95