Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.16 / $800.35 / $1,544.22	Facility		$343.16	$800.35	$1,544.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $343.16 / $356.75	Professional		$340.31	$343.16	$356.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $680.62 / $823.55	Facility		$340.31	$680.62	$823.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $340.31 / $469.62	Professional		$289.26	$340.31	$469.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $340.31 / $510.47	Facility		$340.31	$340.31	$510.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $408.37	Professional		$340.31	$340.31	$408.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Facility		$340.31	$340.31	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.02 / $340.31 / $917.07	Professional		$336.02	$340.31	$917.07
United Facility/Professional Professional Modifier Low / Median / High Price $255.23 / $340.31 / $360.73	Professional		$255.23	$340.31	$360.73