Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $1,267.20 / $5,463.23	Facility		$534.66	$1,267.20	$5,463.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $551.76 / $551.76	Professional		$546.29	$551.76	$551.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $1,092.58 / $1,447.67	Facility		$546.29	$1,092.58	$1,447.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.34 / $546.29 / $775.73	Professional		$464.34	$546.29	$775.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $819.44	Facility		$546.29	$546.29	$819.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $682.86	Professional		$546.29	$546.29	$682.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Facility		$546.29	$546.29	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $1,452.00	Professional		$546.29	$546.29	$1,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $928.69	Professional		$546.29	$546.29	$928.69