Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.10 / $813.67 / $2,414.30	Facility		$352.10	$813.67	$2,414.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $392.62	Professional		$356.93	$356.93	$392.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $713.86 / $863.77	Facility		$356.93	$713.86	$863.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $492.56	Professional		$356.93	$356.93	$492.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $535.40	Facility		$356.93	$356.93	$535.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $446.16	Professional		$356.93	$356.93	$446.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Facility		$356.93	$356.93	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $404.07	Professional		$356.93	$356.93	$404.07
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $378.35 / $405.08	Professional		$356.93	$378.35	$405.08