Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.75 / $472.90 / $4,846.00	Facility		$428.75	$472.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $449.36 / $579.82	Professional		$396.14	$449.36	$579.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.32 / $2,318.00 / $13,810.27	Facility		$1,603.32	$2,318.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $399.89 / $599.83	Professional		$339.90	$399.89	$599.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.55 / $453.15 / $532.08	Facility		$355.55	$453.15	$532.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.01 / $418.30 / $522.87	Professional		$366.01	$418.30	$522.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.86 / $586.19 / $1,005.95	Professional		$401.86	$586.19	$1,005.95
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 $399.07 / $522.87 / $795.58	Professional		$399.07	$522.87	$795.58