Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.89 / $637.05 / $11,093.00	Facility		$418.89	$637.05	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.59 / $521.39 / $632.80	Professional		$405.59	$521.39	$632.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.40 / $479.14 / $691.90	Professional		$366.40	$479.14	$691.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.44 / $507.53 / $725.30	Facility		$348.44	$507.53	$725.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.88 / $637.05 / $761.57	Professional		$530.88	$637.05	$761.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Facility		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.62 / $600.94 / $825.59	Professional		$430.62	$600.94	$825.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $3,870.00 / $6,474.00	Facility		$1,403.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $584.96 / $1,019.43	Professional		$406.70	$584.96	$1,019.43