Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $2,238.72	Facility		$489.78	$1,174.90	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $1,071.52	Facility		$575.44	$741.31	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $954.99	Professional		$489.78	$489.78	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,000.00	Facility		$501.19	$741.31	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,348.96	Professional		$489.78	$489.78	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $588.84	Professional		$489.78	$549.54	$588.84