Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.21 / $759.26 / $4,846.00	Facility		$665.21	$759.26	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.85 / $688.35 / $937.62	Professional		$648.85	$688.35	$937.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.64 / $638.29 / $880.85	Professional		$510.64	$638.29	$880.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.72 / $822.54 / $949.08	Facility		$632.72	$822.54	$949.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.72 / $759.26 / $949.08	Professional		$632.72	$759.26	$949.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $804.60	Facility		$761.00	$761.00	$804.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.66 / $843.06 / $1,395.61	Professional		$634.66	$843.06	$1,395.61
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 $596.99 / $744.86 / $1,239.40	Professional		$596.99	$744.86	$1,239.40