Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $870.77 / $2,652.87	Facility		$386.90	$870.77	$2,652.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $434.47	Professional		$391.06	$391.07	$434.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $782.14 / $946.39	Facility		$391.07	$782.14	$946.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $539.66	Professional		$391.07	$391.07	$539.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $586.61	Facility		$391.07	$391.07	$586.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $488.84	Professional		$391.07	$391.07	$488.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Facility		$391.07	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $442.72	Professional		$391.07	$391.07	$442.72
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $469.28	Professional		$391.07	$414.53	$469.28