Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $702.54 / $4,846.00	Facility		$644.92	$702.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.59 / $677.48 / $874.17	Professional		$589.59	$677.48	$874.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.39 / $790.79 / $1,067.56	Professional		$587.39	$790.79	$1,067.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.82 / $681.63 / $786.50	Facility		$534.82	$681.63	$786.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $550.54 / $629.20 / $786.50	Professional		$550.54	$629.20	$786.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.14 / $864.36 / $1,800.00	Professional		$593.14	$864.36	$1,800.00
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 $591.35 / $786.50 / $1,278.50	Professional		$591.35	$786.50	$1,278.50