Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $399.68 / $7,212.00	Facility		$152.90	$399.68	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $337.60 / $399.68	Professional		$152.90	$337.60	$399.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $349.93 / $1,048.23	Professional		$207.36	$349.93	$1,048.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $194.45 / $469.94	Facility		$152.57	$194.45	$469.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.94 / $389.93 / $493.43	Professional		$324.94	$389.93	$493.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $377.02 / $768.17	Professional		$171.04	$377.02	$768.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.39 / $492.03 / $753.19	Professional		$339.39	$492.03	$753.19