Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,282.75 / $2,381.67	Facility		$529.26	$1,282.75	$2,381.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $534.54 / $688.03	Professional		$529.26	$534.54	$688.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,058.52 / $1,402.54	Facility		$529.26	$1,058.52	$1,402.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $529.26 / $751.54	Professional		$449.87	$529.26	$751.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $793.89	Facility		$529.26	$529.26	$793.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $661.58	Professional		$529.26	$529.26	$661.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Facility		$529.26	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $529.26 / $1,469.82	Professional		$517.40	$529.26	$1,469.82
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $899.74	Professional		$529.26	$529.26	$899.74