Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.41 / $815.51 / $4,846.00	Facility		$653.41	$815.51	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.41 / $698.08 / $921.32	Professional		$653.41	$698.08	$921.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $985.40 / $1,359.85	Professional		$726.85	$985.40	$1,359.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.01 / $831.00 / $958.85	Facility		$652.01	$831.00	$958.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $639.23 / $767.08 / $958.85	Professional		$639.23	$767.08	$958.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.60 / $922.98 / $1,562.92	Professional		$683.60	$922.98	$1,562.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $821.36 / $1,398.37	Professional		$675.24	$821.36	$1,398.37