Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $559.39	Facility		$329.05	$329.05	$559.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.10	Professional		$329.05	$329.05	$329.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.52 / $388.04 / $658.10	Facility		$372.52	$388.04	$658.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $329.05 / $329.05	Professional		$279.69	$329.05	$329.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $357.49 / $526.48	Facility		$329.05	$357.49	$526.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $361.96 / $506.74	Professional		$329.05	$361.96	$506.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.33 / $329.05 / $329.05	Facility		$324.33	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $600.91 / $600.91	Professional		$329.05	$600.91	$600.91
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05