Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,445.44	Facility		$416.87	$630.96	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,258.93	Facility		$416.87	$416.87	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $346.74	Professional		$141.25	$165.96	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $9,120.11	Facility		$407.38	$758.58	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,621.81	Facility		$269.15	$537.03	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $512.86 / $1,258.93	Professional		$245.47	$512.86	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87