Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.37 / $559.15 / $5,634.00	Facility		$298.37	$559.15	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.37 / $356.45 / $410.83	Professional		$298.37	$356.45	$410.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $608.23 / $863.68	Professional		$363.74	$608.23	$863.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.29 / $430.12 / $556.09	Facility		$295.29	$430.12	$556.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.30 / $491.16 / $583.90	Professional		$409.30	$491.16	$583.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $357.64 / $357.64	Facility		$357.64	$357.64	$357.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.57 / $533.16 / $785.78	Professional		$366.57	$533.16	$785.78
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 $344.57 / $461.07 / $802.89	Professional		$344.57	$461.07	$802.89