Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $2,041.74	Facility		$575.44	$912.01	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $676.08	Professional		$436.52	$478.63	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,737.80	Facility		$575.44	$575.44	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $575.44	Professional		$275.42	$346.74	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $724.44	Facility		$389.05	$389.05	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $1,288.25	Facility		$416.87	$575.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $1,479.11	Professional		$302.00	$416.87	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $630.96	Professional		$245.47	$346.74	$630.96