Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.55 / $732.43 / $4,846.00	Facility		$697.55	$732.43	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.38 / $726.86 / $937.88	Professional		$624.38	$726.86	$937.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $17,625.00 / $37,128.00	Facility		$1,521.00	$17,625.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $1,020.45 / $1,377.60	Professional		$648.92	$1,020.45	$1,377.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $737.24 / $850.67	Facility		$578.45	$737.24	$850.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.47 / $680.53 / $850.67	Professional		$595.47	$680.53	$850.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.77 / $848.88 / $1,648.16	Professional		$629.77	$848.88	$1,648.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.99 / $790.28 / $1,234.71	Professional		$608.99	$790.28	$1,234.71