Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.35 / $1,386.00 / $4,846.00	Facility		$449.35	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.83 / $486.70 / $2,311.62	Professional		$442.83	$486.70	$2,311.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $7,572.00 / $18,942.00	Facility		$1,058.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $336.50 / $502.51	Professional		$286.02	$336.50	$502.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $530.37 / $651.67	Facility		$443.14	$530.37	$651.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.45 / $498.53 / $651.67	Professional		$434.45	$498.53	$651.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $547.70 / $761.00	Facility		$547.70	$547.70	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $589.14 / $894.50	Professional		$444.18	$589.14	$894.50
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 $376.22 / $524.69 / $813.68	Professional		$376.22	$524.69	$813.68