Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $250.76 / $4,846.00	Facility		$222.79	$250.76	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $236.94 / $314.02	Professional		$213.64	$236.94	$314.02
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 $225.03 / $284.68 / $392.85	Professional		$225.03	$284.68	$392.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.36 / $265.67 / $306.54	Facility		$204.36	$265.67	$306.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.36 / $245.23 / $306.54	Professional		$204.36	$245.23	$306.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $267.61 / $761.00	Facility		$267.61	$267.61	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $293.93 / $469.68	Professional		$238.88	$293.93	$469.68
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 $211.36 / $261.08 / $445.35	Professional		$211.36	$261.08	$445.35