Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.21 / $879.48 / $7,212.00	Facility		$342.21	$879.48	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $461.98 / $691.20	Professional		$342.21	$461.98	$691.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $387.03 / $549.58	Professional		$287.70	$387.03	$549.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.32 / $515.14 / $772.71	Facility		$375.32	$515.14	$772.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.46 / $664.15 / $996.23	Professional		$553.46	$664.15	$996.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $575.45 / $889.34	Professional		$382.76	$575.45	$889.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.67 / $589.98 / $1,029.54	Professional		$437.67	$589.98	$1,029.54