Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $562.58 / $11,093.00	Facility		$354.09	$562.58	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $437.70 / $555.20	Professional		$321.19	$437.70	$555.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.00 / $5,061.00 / $9,462.00	Facility		$2,073.00	$5,061.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $397.88 / $565.00	Professional		$295.76	$397.88	$565.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.45 / $430.35 / $638.64	Facility		$295.45	$430.35	$638.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.82 / $562.58 / $670.58	Professional		$468.82	$562.58	$670.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $365.92	Facility		$365.92	$365.92	$365.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $507.20 / $732.16	Professional		$365.98	$507.20	$732.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $533.73 / $1,089.26	Professional		$393.56	$533.73	$1,089.26