Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,801.89 / $5,623.41	Facility		$741.31	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $912.01	Professional		$436.52	$512.86	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $8,317.64	Facility		$1,995.26	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $812.83	Professional		$389.05	$446.68	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $489.78 / $549.54	Facility		$436.52	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,047.13	Professional		$478.63	$602.56	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $912.01	Professional		$416.87	$537.03	$912.01