Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.75 / $560.75 / $2,852.74	Facility		$560.75	$560.75	$2,852.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $610.72	Professional		$555.20	$555.20	$610.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $1,071.54	Facility		$555.20	$555.20	$1,071.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $788.38	Professional		$555.20	$555.20	$788.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $832.80	Facility		$555.20	$555.20	$832.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $666.24	Professional		$555.20	$555.20	$666.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Facility		$555.20	$555.20	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Professional		$555.20	$555.20	$555.20
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $832.80	Professional		$555.20	$555.20	$832.80