Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.78 / $485.78 / $1,020.74	Facility		$485.78	$485.78	$1,020.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $498.41 / $567.62	Professional		$485.78	$498.41	$567.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $806.38 / $913.56 / $1,020.74	Facility		$806.38	$913.56	$1,020.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.39 / $623.60 / $841.86	Professional		$511.39	$623.60	$841.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.18 / $1,122.81 / $1,531.11	Facility		$770.18	$1,122.81	$1,531.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.63 / $1,122.81 / $1,378.00	Professional		$867.63	$1,122.81	$1,378.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,020.74	Facility		$660.31	$660.31	$1,020.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $660.31 / $1,047.08	Professional		$482.03	$660.31	$1,047.08
United Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $509.24 / $767.27	Professional		$339.49	$509.24	$767.27