Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.41 / $1,386.00 / $5,634.00	Facility		$448.41	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $456.27 / $632.04	Professional		$410.84	$456.27	$632.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $333.90 / $483.50	Professional		$283.81	$333.90	$483.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.63 / $532.52 / $614.45	Facility		$409.63	$532.52	$614.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.63 / $491.56 / $614.45	Professional		$409.63	$491.56	$614.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.00 / $509.64 / $1,868.80	Facility		$402.00	$509.64	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.32 / $506.75 / $874.77	Professional		$342.32	$506.75	$874.77
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.81 / $466.33 / $860.28	Professional		$371.81	$466.33	$860.28