Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.77 / $1,541.16 / $4,750.13	Facility		$692.77	$1,541.16	$4,750.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $754.60	Professional		$686.00	$686.00	$754.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,372.00 / $1,660.12	Facility		$686.00	$1,372.00	$1,660.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $946.68	Professional		$686.00	$686.00	$946.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $1,029.00	Facility		$686.00	$686.00	$1,029.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $857.50	Professional		$686.00	$686.00	$857.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $776.61	Professional		$686.00	$686.00	$776.61
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $727.16 / $781.98	Professional		$686.00	$727.16	$781.98