Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $436.38 / $5,634.00	Facility		$274.99	$436.38	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $381.71 / $509.34	Professional		$264.06	$381.71	$509.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $356.18 / $517.98	Professional		$212.58	$356.18	$517.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.12 / $323.86 / $502.88	Facility		$249.12	$323.86	$502.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $436.38 / $545.48	Professional		$363.65	$436.38	$545.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.02 / $391.02 / $451.65	Facility		$391.02	$391.02	$451.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $364.73 / $644.70	Professional		$239.37	$364.73	$644.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,027.00 / $5,242.00	Facility		$1,000.00	$3,027.00	$5,242.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $400.83 / $728.03	Professional		$290.92	$400.83	$728.03