Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $1,386.00 / $5,634.00	Facility		$382.72	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $408.36 / $539.64	Professional		$382.72	$408.36	$539.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,810.27	Facility		$1,682.00	$3,950.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $543.10 / $749.47	Professional		$421.89	$543.10	$749.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.10 / $488.27 / $563.39	Facility		$383.10	$488.27	$563.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.59 / $450.71 / $563.39	Professional		$375.59	$450.71	$563.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.09 / $532.79 / $913.14	Professional		$395.09	$532.79	$913.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.93 / $468.05 / $785.38	Professional		$389.93	$468.05	$785.38