Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $748.85 / $1,273.05	Facility		$742.90	$748.85	$1,273.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $750.32	Professional		$748.85	$748.85	$750.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.75 / $883.08 / $1,497.70	Facility		$847.75	$883.08	$1,497.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $748.85 / $748.85	Professional		$636.52	$748.85	$748.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $813.73 / $1,198.16	Facility		$748.85	$813.73	$1,198.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $823.74 / $1,153.23	Professional		$748.85	$823.74	$1,153.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.33 / $748.84 / $748.84	Facility		$744.33	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.79 / $748.84 / $1,332.40	Professional		$616.79	$748.84	$1,332.40
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85