Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $1,183.74 / $5,634.00	Facility		$370.00	$1,183.74	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $477.53 / $621.79	Professional		$410.70	$477.53	$621.79
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 $379.17 / $547.79 / $755.96	Professional		$379.17	$547.79	$755.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.17 / $634.35 / $951.53	Facility		$462.17	$634.35	$951.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.11 / $543.73 / $815.60	Professional		$453.11	$543.73	$815.60
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 $434.95 / $580.94 / $969.20	Professional		$434.95	$580.94	$969.20
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 $389.94 / $510.08 / $963.38	Professional		$389.94	$510.08	$963.38