Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $1,386.00 / $4,846.00	Facility		$242.30	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $246.08 / $341.52	Professional		$225.81	$246.08	$341.52
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 $195.50 / $230.00 / $326.60	Professional		$195.50	$230.00	$326.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.57 / $310.20 / $538.75	Facility		$221.57	$310.20	$538.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $254.81 / $353.55	Professional		$221.57	$254.81	$353.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $761.00	Facility		$297.22	$297.22	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $308.77 / $468.53	Professional		$224.01	$308.77	$468.53
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 $199.02 / $247.87 / $487.70	Professional		$199.02	$247.87	$487.70