Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.87 / $543.00 / $5,634.00	Facility		$287.87	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.62 / $317.45 / $421.50	Professional		$266.62	$317.45	$421.50
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 $197.65 / $314.08 / $433.44	Professional		$197.65	$314.08	$433.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.31 / $372.20 / $432.62	Facility		$286.31	$372.20	$432.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.31 / $384.37 / $480.47	Professional		$320.31	$384.37	$480.47
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 $275.99 / $355.37 / $562.47	Professional		$275.99	$355.37	$562.47
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 $247.63 / $335.37 / $580.84	Professional		$247.63	$335.37	$580.84