Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.71 / $897.05 / $2,692.76	Facility		$392.71	$897.05	$2,692.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $431.89	Professional		$392.63	$392.63	$431.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $785.26 / $950.16	Facility		$392.63	$785.26	$950.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $541.82	Professional		$392.63	$392.63	$541.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $588.95	Facility		$392.63	$392.63	$588.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $490.79	Professional		$392.63	$392.63	$490.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $444.49	Professional		$392.63	$392.63	$444.49
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $437.08	Professional		$392.63	$416.19	$437.08