Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.91 / $460.79 / $5,634.00	Facility		$280.91	$460.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $390.98 / $528.01	Professional		$274.64	$390.98	$528.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $451.35 / $673.63	Professional		$263.50	$451.35	$673.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.50 / $342.55 / $523.94	Facility		$263.50	$342.55	$523.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.99 / $460.79 / $575.99	Professional		$383.99	$460.79	$575.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $483.77	Facility		$365.92	$365.92	$483.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $416.00 / $701.18	Professional		$294.29	$416.00	$701.18
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $434.28 / $814.28	Professional		$340.98	$434.28	$814.28