Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $645.65 / $1,412.54	Facility		$309.03	$645.65	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $676.08	Facility		$363.08	$457.09	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $489.78	Professional		$309.03	$309.03	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $588.84	Facility		$331.13	$398.11	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $426.58	Facility		$309.03	$309.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Professional		$309.03	$309.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $575.44	Facility		$331.13	$331.13	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $354.81	Professional		$309.03	$323.59	$354.81