Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.98 / $888.48 / $1,727.91	Facility		$383.98	$888.48	$1,727.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $385.17	Professional		$381.36	$385.17	$385.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $762.72 / $1,010.60	Facility		$381.36	$762.72	$1,010.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.14 / $381.36 / $541.53	Professional		$324.14	$381.36	$541.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $381.36 / $572.04	Facility		$381.36	$381.36	$572.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $476.70	Professional		$381.36	$381.36	$476.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $381.36 / $970.09	Facility		$381.36	$381.36	$970.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.53 / $381.36 / $1,018.05	Professional		$357.53	$381.36	$1,018.05
United Facility/Professional Facility Modifier Low / Median / High Price $617.69 / $748.72 / $748.72	Facility		$617.69	$748.72	$748.72
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $472.89	Professional		$381.36	$381.36	$472.89