Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.70 / $781.96 / $7,212.00	Facility		$466.70	$781.96	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.23 / $474.72 / $640.88	Professional		$422.23	$474.72	$640.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $468.06 / $664.64	Professional		$397.85	$468.06	$664.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $465.87 / $639.44 / $959.16	Facility		$465.87	$639.44	$959.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.70 / $578.38 / $832.86	Professional		$462.70	$578.38	$832.86
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 $496.43 / $656.76 / $1,027.08	Professional		$496.43	$656.76	$1,027.08
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 $405.82 / $541.60 / $950.46	Professional		$405.82	$541.60	$950.46