Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.42 / $1,525.42 / $2,562.44	Facility		$569.42	$1,525.42	$2,562.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $578.69 / $578.69	Professional		$572.96	$578.69	$578.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $1,145.92 / $1,518.34	Facility		$572.96	$1,145.92	$1,518.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.01 / $572.96 / $813.60	Professional		$487.01	$572.96	$813.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $773.50	Facility		$572.96	$572.96	$773.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $716.20	Professional		$572.96	$572.96	$716.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $1,251.64	Facility		$572.96	$572.96	$1,251.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.35 / $572.96 / $1,782.82	Professional		$516.35	$572.96	$1,782.82
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $903.83	Professional		$572.96	$572.96	$903.83