Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $529.26 / $899.74	Facility		$524.02	$529.26	$899.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $529.26 / $666.86	Professional		$529.25	$529.26	$666.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.16 / $624.13 / $1,058.52	Facility		$599.16	$624.13	$1,058.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $529.26 / $529.26	Professional		$449.87	$529.26	$529.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $575.05 / $846.82	Facility		$529.26	$575.05	$846.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $582.19 / $815.06	Professional		$529.26	$582.19	$815.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $1,173.00	Facility		$529.26	$529.26	$1,173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.35 / $529.26 / $983.00	Professional		$509.35	$529.26	$983.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26