Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $512.86	Facility		$141.25	$380.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $891.25	Professional		$549.54	$549.54	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,122.02	Facility		$549.54	$831.76	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,290.87 / $2,691.53	Professional		$125.89	$2,290.87	$2,691.53