Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $598.00 / $1,820.00	Facility		$426.40	$598.00	$1,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.80 / $426.40 / $494.00	Professional		$410.80	$426.40	$494.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.80 / $465.40 / $1,560.00	Facility		$410.80	$465.40	$1,560.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $176.80	Professional		$13.28	$13.28	$176.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $676.00 / $728.00	Facility		$520.00	$676.00	$728.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $624.00 / $780.00	Professional		$520.00	$624.00	$780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $520.00 / $1,158.97	Facility		$338.00	$520.00	$1,158.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $467.92 / $754.00	Professional		$17.53	$467.92	$754.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $571.48	Professional		$218.40	$312.00	$571.48