Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.75 / $484.90 / $5,634.00	Facility		$319.75	$484.90	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.75 / $391.38 / $472.48	Professional		$319.75	$391.38	$472.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,914.00 / $37,919.46	Facility		$1,682.00	$3,914.00	$37,919.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.90 / $585.19 / $927.49	Professional		$376.90	$585.19	$927.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $475.92 / $699.89	Facility		$330.50	$475.92	$699.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.34 / $499.37 / $691.44	Professional		$403.34	$499.37	$691.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,405.61 / $6,405.61 / $6,405.61	Facility		$6,405.61	$6,405.61	$6,405.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $532.20 / $944.73	Professional		$358.29	$532.20	$944.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $499.04 / $842.10	Professional		$400.84	$499.04	$842.10