Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $650.17 / $1,875.51	Facility		$416.78	$650.17	$1,875.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $1,250.33 / $2,261.83	Facility		$166.71	$1,250.33	$2,261.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $166.71 / $230.05	Professional		$141.69	$166.71	$230.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $604.33 / $666.85	Facility		$416.78	$604.33	$666.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $625.16	Professional		$416.78	$500.14	$625.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $787.42 / $1,625.61	Facility		$270.91	$787.42	$1,625.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $478.96 / $608.27	Professional		$247.14	$478.96	$608.27
United Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $229.45 / $416.87	Professional		$160.66	$229.45	$416.87