Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.26 / $1,630.82 / $4,199.16	Facility		$581.26	$1,630.82	$4,199.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $686.89	Professional		$575.50	$575.50	$686.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,151.00 / $1,392.71	Facility		$575.50	$1,151.00	$1,392.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $794.19	Professional		$575.50	$575.50	$794.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $863.25	Facility		$575.50	$575.50	$863.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $719.38	Professional		$575.50	$575.50	$719.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $708.35	Facility		$575.50	$575.50	$708.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $721.90	Professional		$575.50	$575.50	$721.90
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $610.03 / $690.60	Professional		$575.50	$610.03	$690.60