Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $579.60 / $1,859.76	Facility		$413.28	$579.60	$1,859.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $413.28 / $478.80	Professional		$398.16	$413.28	$478.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.16 / $451.08 / $1,512.00	Facility		$398.16	$451.08	$1,512.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $201.60 / $800.00	Professional		$100.00	$201.60	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $604.79 / $705.60	Facility		$504.00	$604.79	$705.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $579.60 / $730.80	Professional		$504.00	$579.60	$730.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $504.00 / $1,172.16	Facility		$327.60	$504.00	$1,172.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $579.03 / $731.00	Professional		$266.11	$579.03	$731.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $302.39 / $621.42	Professional		$211.68	$302.39	$621.42