Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $658.78 / $4,846.00	Facility		$479.47	$658.78	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.47 / $504.40 / $650.84	Professional		$479.47	$504.40	$650.84
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 $599.72 / $810.20 / $1,093.77	Professional		$599.72	$810.20	$1,093.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.61 / $506.75 / $584.72	Facility		$397.61	$506.75	$584.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.30 / $467.77 / $584.72	Professional		$409.30	$467.77	$584.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.53 / $887.75 / $1,301.56	Professional		$499.53	$887.75	$1,301.56
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 $586.64 / $826.40 / $1,256.83	Professional		$586.64	$826.40	$1,256.83