Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $571.03 / $5,634.00	Facility		$316.27	$571.03	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.11 / $340.98 / $452.20	Professional		$300.11	$340.98	$452.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.38 / $347.73 / $479.86	Professional		$266.38	$347.73	$479.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $438.80 / $658.20	Facility		$319.70	$438.80	$658.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.89 / $422.36 / $608.21	Professional		$337.89	$422.36	$608.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.16 / $408.49 / $668.74	Professional		$332.16	$408.49	$668.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $370.28 / $658.56	Professional		$282.83	$370.28	$658.56