Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $377.52 / $641.78	Facility		$376.48	$377.52	$641.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.52 / $377.52	Professional		$377.51	$377.52	$377.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.38 / $445.19 / $755.04	Facility		$427.38	$445.19	$755.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $377.52 / $377.52	Professional		$320.89	$377.52	$377.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $410.21 / $604.03	Facility		$377.52	$410.21	$604.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $415.27 / $581.38	Professional		$377.52	$415.27	$581.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.97 / $370.81 / $377.52	Facility		$369.97	$370.81	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $377.52 / $699.82	Professional		$292.33	$377.52	$699.82
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $400.17 / $420.26	Professional		$377.52	$400.17	$420.26