Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $891.25 / $1,737.80	Facility		$380.19	$891.25	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $416.87	Professional		$380.19	$389.05	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $851.14	Facility		$457.09	$575.44	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $741.31	Professional		$380.19	$380.19	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $758.58	Facility		$380.19	$562.34	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,023.29	Professional		$380.19	$380.19	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $741.31	Facility		$380.19	$380.19	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $436.52	Professional		$380.19	$407.38	$436.52