Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.82 / $793.20 / $7,212.00	Facility		$274.82	$793.20	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $370.55 / $504.41	Professional		$274.82	$370.55	$504.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $320.11 / $479.80	Professional		$208.00	$320.11	$479.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.36 / $400.77 / $650.21	Facility		$299.36	$400.77	$650.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.35 / $586.69 / $844.83	Professional		$469.35	$586.69	$844.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $472.77 / $740.07	Professional		$279.02	$472.77	$740.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $491.56 / $798.45	Professional		$346.95	$491.56	$798.45