Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.47 / $563.41 / $4,846.00	Facility		$492.47	$563.41	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.52 / $517.26 / $667.44	Professional		$469.52	$517.26	$667.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.77 / $692.65 / $935.07	Professional		$491.77	$692.65	$935.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.39 / $520.49 / $600.57	Facility		$408.39	$520.49	$600.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.40 / $480.46 / $600.57	Professional		$420.40	$480.46	$600.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.86 / $681.56 / $1,668.90	Professional		$458.86	$681.56	$1,668.90
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 $439.32 / $644.95 / $968.00	Professional		$439.32	$644.95	$968.00