Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $758.58	Facility		$380.19	$380.19	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $416.87	Professional		$380.19	$380.19	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $724.44	Facility		$436.52	$457.09	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $602.56	Facility		$380.19	$380.19	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $524.81	Professional		$380.19	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $562.34	Facility		$380.19	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,584.89 / $1,584.89	Professional		$380.19	$1,584.89	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $426.58	Professional		$380.19	$407.38	$426.58