Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $546.29 / $928.69	Facility		$529.38	$546.29	$928.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $606.92	Professional		$546.29	$546.29	$606.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.44 / $644.21 / $1,092.58	Facility		$618.44	$644.21	$1,092.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.34 / $546.29 / $546.29	Professional		$464.34	$546.29	$546.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $593.70 / $874.06	Facility		$546.29	$593.70	$874.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $600.91 / $841.29	Professional		$546.29	$600.91	$841.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $881.65	Facility		$546.29	$546.29	$881.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $633.40 / $1,027.80	Professional		$546.29	$633.40	$1,027.80
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29