Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $1,162.56 / $2,247.21	Facility		$499.38	$1,162.56	$2,247.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $500.50	Professional		$495.55	$500.50	$500.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $991.10 / $1,313.21	Facility		$495.55	$991.10	$1,313.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.21 / $495.55 / $703.68	Professional		$421.21	$495.55	$703.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $668.99	Facility		$495.55	$495.55	$668.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $619.44	Professional		$495.55	$495.55	$619.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Facility		$495.55	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $495.55 / $1,332.10	Professional		$462.87	$495.55	$1,332.10
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $661.96	Professional		$495.55	$495.55	$661.96