Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.92 / $460.05 / $4,846.00	Facility		$437.92	$460.05	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $460.05 / $593.61	Professional		$401.85	$460.05	$593.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.69 / $494.62 / $682.57	Professional		$395.69	$494.62	$682.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $462.84 / $535.74	Facility		$363.15	$462.84	$535.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $373.83 / $427.24 / $534.04	Professional		$373.83	$427.24	$534.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.11 / $561.71 / $1,156.19	Professional		$408.11	$561.71	$1,156.19
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 $405.44 / $497.42 / $781.50	Professional		$405.44	$497.42	$781.50