Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $745.25 / $7,212.00	Facility		$258.08	$745.25	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $347.98 / $472.61	Professional		$258.08	$347.98	$472.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $373.26 / $502.86	Professional		$254.73	$373.26	$502.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $252.40 / $367.64 / $607.39	Facility		$252.40	$367.64	$607.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.55 / $532.26 / $637.76	Professional		$443.55	$532.26	$637.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $465.83 / $689.69	Professional		$306.01	$465.83	$689.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $471.26 / $754.17	Professional		$376.07	$471.26	$754.17