Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.34 / $762.91 / $1,495.76	Facility		$332.34	$762.91	$1,495.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $332.34 / $332.34	Professional		$329.05	$332.34	$332.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $658.10 / $871.98	Facility		$329.05	$658.10	$871.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $329.05 / $467.25	Professional		$279.69	$329.05	$467.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $493.58	Facility		$329.05	$329.05	$493.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $411.31	Professional		$329.05	$329.05	$411.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Facility		$329.05	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $329.05 / $874.17	Professional		$310.89	$329.05	$874.17
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $408.02	Professional		$329.05	$329.05	$408.02