Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $636.59 / $1,082.20	Facility		$528.58	$636.59	$1,082.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,552.50	Professional		$636.59	$636.59	$1,552.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.67 / $750.70 / $1,273.18	Facility		$720.67	$750.70	$1,273.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $636.59 / $636.59	Professional		$541.10	$636.59	$636.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $691.76 / $1,018.54	Facility		$636.59	$691.76	$1,018.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $700.25 / $980.35	Professional		$636.59	$700.25	$980.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $1,530.00	Facility		$636.59	$636.59	$1,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $781.27 / $1,229.90	Professional		$636.59	$781.27	$1,229.90
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59