Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.35 / $731.00 / $7,212.00	Facility		$340.35	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $425.79 / $542.55	Professional		$340.35	$425.79	$542.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.40 / $10,338.00 / $26,304.00	Facility		$1,852.40	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.54 / $438.24 / $604.77	Professional		$337.54	$438.24	$604.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $467.57 / $701.36	Facility		$340.66	$467.57	$701.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.57 / $524.46 / $755.22	Professional		$419.57	$524.46	$755.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $367.61 / $435.76	Facility		$367.61	$367.61	$435.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.14 / $500.45 / $872.14	Professional		$369.14	$500.45	$872.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,375.00 / $5,174.00 / $9,243.00	Facility		$3,375.00	$5,174.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $517.53 / $937.46	Professional		$408.43	$517.53	$937.46