Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.85 / $496.85 / $1,003.85	Facility		$496.85	$496.85	$1,003.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.74 / $515.96 / $558.23	Professional		$477.74	$515.96	$558.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.04 / $898.45 / $1,003.85	Facility		$793.04	$898.45	$1,003.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $604.41 / $815.96	Professional		$489.71	$604.41	$815.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $1,104.24 / $1,505.78	Facility		$752.89	$1,104.24	$1,505.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.27 / $1,104.24 / $1,355.20	Professional		$853.27	$1,104.24	$1,355.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,003.85	Facility		$627.26	$627.26	$1,003.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,029.76	Professional		$457.90	$457.90	$1,029.76
United Facility/Professional Facility Modifier Low / Median / High Price $339.14 / $567.91 / $794.28	Facility		$339.14	$567.91	$794.28
United Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $500.81 / $739.53	Professional		$333.87	$500.81	$739.53