Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $453.90 / $488.48	Facility		$453.90	$453.90	$488.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $483.65	Professional		$449.41	$449.41	$483.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $867.36	Facility		$449.41	$449.41	$867.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $638.16	Professional		$449.41	$449.41	$638.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $674.12	Facility		$449.41	$449.41	$674.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $539.29	Professional		$449.41	$449.41	$539.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $673.09	Professional		$449.41	$449.41	$673.09
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $674.12	Professional		$449.41	$449.41	$674.12