Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.36 / $575.36 / $1,162.49	Facility		$575.36	$575.36	$1,162.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.61 / $575.36 / $624.38	Professional		$539.61	$575.36	$624.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.37 / $1,040.43 / $1,162.49	Facility		$918.37	$1,040.43	$1,162.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $591.00 / $815.58	Professional		$567.09	$591.00	$815.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.87 / $1,278.74 / $1,627.49	Facility		$871.87	$1,278.74	$1,627.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $988.12 / $1,278.74 / $1,569.36	Professional		$988.12	$1,278.74	$1,569.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,162.49	Facility		$751.98	$751.98	$1,162.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,192.48	Professional		$548.95	$548.95	$1,192.48
United Facility/Professional Facility Modifier Low / Median / High Price $327.83 / $564.79 / $767.79	Facility		$327.83	$564.79	$767.79
United Facility/Professional Professional Modifier Low / Median / High Price $322.74 / $551.88 / $767.79	Professional		$322.74	$551.88	$767.79