Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.75 / $813.38 / $5,634.00	Facility		$456.75	$813.38	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.53 / $488.55 / $616.61	Professional		$417.53	$488.55	$616.61
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 $381.65 / $578.46 / $798.27	Professional		$381.65	$578.46	$798.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.97 / $629.96 / $944.94	Facility		$458.97	$629.96	$944.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $601.61 / $866.33	Professional		$481.29	$601.61	$866.33
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 $479.21 / $593.01 / $1,004.14	Professional		$479.21	$593.01	$1,004.14
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 $414.39 / $566.85 / $1,021.37	Professional		$414.39	$566.85	$1,021.37