Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.24 / $891.10 / $1,711.08	Facility		$380.24	$891.10	$1,711.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $381.30 / $381.30	Professional		$377.52	$381.30	$381.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $755.04 / $1,000.43	Facility		$377.52	$755.04	$1,000.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $377.52 / $536.07	Professional		$320.89	$377.52	$536.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $566.28	Facility		$377.52	$377.52	$566.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $471.90	Professional		$377.52	$377.52	$471.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Facility		$377.52	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.86 / $377.52 / $1,021.05	Professional		$340.86	$377.52	$1,021.05
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $420.26 / $438.37	Professional		$377.52	$420.26	$438.37