Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.11 / $685.87 / $4,846.00	Facility		$619.11	$685.87	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.01 / $619.98 / $872.66	Professional		$582.01	$619.98	$872.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $892.50 / $1,204.86	Professional		$613.66	$892.50	$1,204.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.55 / $743.03 / $857.34	Facility		$571.55	$743.03	$857.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $657.29 / $857.34	Professional		$571.55	$657.29	$857.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.65 / $711.65 / $761.00	Facility		$711.65	$711.65	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.73 / $821.16 / $1,317.01	Professional		$612.73	$821.16	$1,317.01
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 $529.90 / $677.24 / $1,221.97	Professional		$529.90	$677.24	$1,221.97