Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.94 / $695.66 / $4,846.00	Facility		$628.94	$695.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $630.50 / $886.50	Professional		$590.04	$630.50	$886.50
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 $606.33 / $792.60 / $1,093.78	Professional		$606.33	$792.60	$1,093.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.72 / $753.64 / $869.58	Facility		$579.72	$753.64	$869.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.72 / $675.03 / $869.58	Professional		$579.72	$675.03	$869.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.86 / $723.86 / $761.00	Facility		$723.86	$723.86	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.22 / $819.73 / $1,300.98	Professional		$624.22	$819.73	$1,300.98
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 $552.47 / $693.02 / $1,157.09	Professional		$552.47	$693.02	$1,157.09