Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $6,013.09 / $18,349.09	Facility		$279.85	$6,013.09	$18,349.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $279.85	Professional		$279.85	$279.85	$279.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $559.70 / $741.60	Facility		$279.85	$559.70	$741.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.93 / $335.22 / $476.01	Professional		$284.93	$335.22	$476.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $279.85 / $419.78	Facility		$279.85	$279.85	$419.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $349.81	Professional		$279.85	$279.85	$349.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Facility		$375.45	$375.45	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $1,032.49	Professional		$375.45	$375.45	$1,032.49
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $316.23 / $816.60	Professional		$279.85	$316.23	$816.60