Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.44 / $495.60 / $4,846.00	Facility		$448.44	$495.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $450.36 / $632.09	Professional		$421.90	$450.36	$632.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $10,316.68 / $15,154.00	Facility		$4,600.00	$10,316.68	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.24 / $502.80 / $693.86	Professional		$402.24	$502.80	$693.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $536.90 / $619.50	Facility		$413.00	$536.90	$619.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $495.60 / $619.50	Professional		$413.00	$495.60	$619.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $514.80 / $761.00	Facility		$514.80	$514.80	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.99 / $568.63 / $928.67	Professional		$420.99	$568.63	$928.67
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.26 / $500.08 / $856.24	Professional		$397.26	$500.08	$856.24