Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.94 / $1,386.00 / $4,846.00	Facility		$461.94	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.26 / $500.41 / $6,249.99	Professional		$455.26	$500.41	$6,249.99
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 / $477.83	Professional		$286.02	$336.50	$477.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.46 / $581.76 / $671.27	Facility		$456.46	$581.76	$671.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $537.01 / $671.27	Professional		$447.51	$537.01	$671.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $761.00	Facility		$564.91	$564.91	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $603.10 / $922.35	Professional		$444.18	$603.10	$922.35
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 $404.54 / $534.89 / $901.06	Professional		$404.54	$534.89	$901.06