Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.01 / $952.73 / $1,790.15	Facility		$396.01	$952.73	$1,790.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $396.01 / $431.22	Professional		$392.09	$396.01	$431.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $784.18 / $948.86	Facility		$392.09	$784.18	$948.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.27 / $392.09 / $541.08	Professional		$333.27	$392.09	$541.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $588.14	Facility		$392.09	$392.09	$588.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $470.51	Professional		$392.09	$392.09	$470.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Facility		$392.09	$392.09	$392.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $392.09 / $1,091.67	Professional		$390.60	$392.09	$1,091.67
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $423.46	Professional		$156.84	$392.09	$423.46