Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $996.18 / $5,634.00	Facility		$407.00	$996.18	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.29 / $408.06 / $573.67	Professional		$382.29	$408.06	$573.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $377.50 / $536.04	Professional		$310.50	$377.50	$536.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.01 / $487.51 / $562.52	Facility		$375.01	$487.51	$562.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $431.26 / $562.52	Professional		$375.01	$431.26	$562.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $761.00	Facility		$166.36	$166.36	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.76 / $475.70 / $804.80	Professional		$357.76	$475.70	$804.80
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 $355.71 / $461.35 / $1,043.83	Professional		$355.71	$461.35	$1,043.83