Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.57 / $798.17 / $1,573.47	Facility		$349.57	$798.17	$1,573.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $349.57	Professional		$346.11	$349.57	$349.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $692.22 / $917.19	Facility		$346.11	$692.22	$917.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $346.11 / $491.47	Professional		$294.19	$346.11	$491.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $482.54	Facility		$346.11	$346.11	$482.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $432.64	Professional		$346.11	$346.11	$432.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.47 / $346.11 / $914.57	Professional		$313.47	$346.11	$914.57
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $415.01	Professional		$346.11	$346.11	$415.01