Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.32 / $1,718.16 / $3,376.44	Facility		$750.32	$1,718.16	$3,376.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $756.33 / $756.33	Professional		$748.85	$756.33	$756.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $1,497.70 / $1,984.45	Facility		$748.85	$1,497.70	$1,984.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $748.85 / $1,063.35	Professional		$636.52	$748.85	$1,063.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $748.85 / $1,123.28	Facility		$748.85	$748.85	$1,123.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $936.06	Professional		$748.85	$748.85	$936.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.71 / $748.84 / $1,968.73	Professional		$637.71	$748.84	$1,968.73
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $875.68	Professional		$748.85	$748.85	$875.68