Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.93 / $731.00 / $7,212.00	Facility		$246.93	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $332.93 / $473.38	Professional		$246.93	$332.93	$473.38
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 $245.19 / $361.70 / $513.61	Professional		$245.19	$361.70	$513.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $352.12 / $616.52	Facility		$241.74	$352.12	$616.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.41 / $536.89 / $647.34	Professional		$447.41	$536.89	$647.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $438.55 / $676.98	Professional		$298.05	$438.55	$676.98
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.95 / $457.86 / $755.47	Professional		$360.95	$457.86	$755.47