Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $468.61 / $5,634.00	Facility		$126.35	$468.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $369.89 / $551.39	Professional		$123.58	$369.89	$551.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $202.32 / $450.57	Professional		$95.54	$202.32	$450.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $152.91 / $543.66	Facility		$117.63	$152.91	$543.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $468.61 / $585.77	Professional		$390.51	$468.61	$585.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $865.00 / $1,873.52	Facility		$219.22	$865.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $300.00 / $714.83	Professional		$135.30	$300.00	$714.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.03 / $470.15 / $779.72	Professional		$365.03	$470.15	$779.72