Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $677.11 / $2,097.81	Facility		$305.95	$677.11	$2,097.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $366.53	Professional		$328.34	$328.34	$366.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $656.68 / $794.58	Facility		$328.34	$656.68	$794.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $453.10	Professional		$328.34	$328.34	$453.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $492.51	Facility		$328.34	$328.34	$492.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $410.43	Professional		$328.34	$328.34	$410.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $422.24	Facility		$328.34	$328.34	$422.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $805.46	Professional		$328.34	$328.34	$805.46
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $438.60	Professional		$328.34	$348.04	$438.60