Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $491.90 / $5,634.00	Facility		$325.70	$491.90	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $397.94 / $480.24	Professional		$325.70	$397.94	$480.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $15,727.00	Facility		$1,682.00	$3,950.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.37 / $390.53 / $603.62	Professional		$286.37	$390.53	$603.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.89 / $485.12 / $713.42	Facility		$336.89	$485.12	$713.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.96 / $507.57 / $702.80	Professional		$409.96	$507.57	$702.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.27 / $541.86 / $1,076.99	Professional		$358.27	$541.86	$1,076.99
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 $385.57 / $510.20 / $838.22	Professional		$385.57	$510.20	$838.22