Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.82 / $1,396.27 / $2,622.69	Facility		$582.82	$1,396.27	$2,622.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $598.91 / $598.92	Professional		$593.00	$598.91	$598.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,186.00 / $1,571.45	Facility		$593.00	$1,186.00	$1,571.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $593.00 / $842.06	Professional		$504.05	$593.00	$842.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $889.50	Facility		$593.00	$593.00	$889.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $741.25	Professional		$593.00	$593.00	$741.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Facility		$593.00	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $593.00 / $1,599.90	Professional		$524.41	$593.00	$1,599.90
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $779.00	Professional		$593.00	$593.00	$779.00