Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $559.47 / $559.47	Facility		$196.78	$559.47	$559.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Professional		$553.94	$553.94	$559.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.92 / $553.92 / $1,069.08	Facility		$553.92	$553.92	$1,069.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.92 / $553.92 / $786.58	Professional		$553.92	$553.92	$786.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $830.91	Facility		$553.94	$553.94	$830.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $664.73	Professional		$553.94	$553.94	$664.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $686.89	Professional		$553.94	$553.94	$686.89