Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.80 / $1,773.00 / $5,634.00	Facility		$423.80	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $423.80 / $572.13	Professional		$375.95	$423.80	$572.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $403.30 / $572.67	Professional		$322.64	$403.30	$572.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.28 / $585.09 / $877.64	Facility		$426.28	$585.09	$877.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $501.50 / $752.25	Professional		$417.92	$501.50	$752.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.41 / $496.07 / $827.57	Professional		$368.41	$496.07	$827.57
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 $332.83 / $437.88 / $830.22	Professional		$332.83	$437.88	$830.22