Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,513.56 / $2,630.27	Facility		$575.44	$1,513.56	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $602.56	Professional		$575.44	$575.44	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,258.93	Facility		$676.08	$870.96	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,122.02	Professional		$575.44	$575.44	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,148.15	Facility		$575.44	$851.14	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,258.93	Facility		$575.44	$575.44	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,778.28	Professional		$575.44	$575.44	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,047.13	Facility		$575.44	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25