Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.08 / $581.20 / $4,846.00	Facility		$529.08	$581.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.33 / $556.20 / $717.68	Professional		$484.33	$556.20	$717.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.12 / $805.70 / $1,111.85	Professional		$554.12	$805.70	$1,111.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $559.20 / $645.23	Facility		$438.75	$559.20	$645.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.66 / $516.17 / $645.23	Professional		$451.66	$516.17	$645.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.40 / $725.73 / $1,791.41	Professional		$493.40	$725.73	$1,791.41
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 $482.69 / $616.85 / $1,004.00	Professional		$482.69	$616.85	$1,004.00