Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.95 / $327.24 / $4,846.00	Facility		$286.95	$327.24	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $301.85 / $389.48	Professional		$272.70	$301.85	$389.48
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 $285.63 / $402.86 / $543.86	Professional		$285.63	$402.86	$543.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $303.27 / $349.94	Facility		$237.96	$303.27	$349.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $279.95 / $349.94	Professional		$244.95	$279.95	$349.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $396.44 / $597.95	Professional		$267.77	$396.44	$597.95
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 $265.49 / $371.11 / $584.72	Professional		$265.49	$371.11	$584.72