Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.86 / $705.41 / $1,394.37	Facility		$309.86	$705.41	$1,394.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $311.77 / $311.77	Professional		$308.68	$311.77	$311.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $617.36 / $818.00	Facility		$308.68	$617.36	$818.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $308.68 / $438.32	Professional		$262.37	$308.68	$438.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $463.02	Facility		$308.68	$308.68	$463.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $385.85	Professional		$308.68	$308.68	$385.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $675.89	Facility		$308.68	$308.68	$675.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $308.68 / $808.28	Professional		$262.72	$308.68	$808.28
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $382.76	Professional		$308.68	$308.68	$382.76