Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $596.60 / $4,846.00	Facility		$536.00	$596.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.10 / $551.96 / $755.50	Professional		$517.10	$551.96	$755.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,980.45 / $14,278.45	Facility		$4,600.00	$8,980.45	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.67 / $580.60 / $801.22	Professional		$449.67	$580.60	$801.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $646.32 / $745.76	Facility		$497.17	$646.32	$745.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $590.42 / $745.76	Professional		$497.17	$590.42	$745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $630.51 / $761.00	Facility		$630.51	$630.51	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.15 / $632.84 / $1,094.54	Professional		$479.15	$632.84	$1,094.54
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 $451.66 / $577.07 / $1,383.32	Professional		$451.66	$577.07	$1,383.32