Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.53 / $569.75 / $7,212.00	Facility		$229.53	$569.75	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $445.34 / $597.71	Professional		$229.53	$445.34	$597.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $532.46 / $1,541.26	Professional		$315.52	$532.46	$1,541.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.51 / $291.24 / $663.16	Facility		$228.51	$291.24	$663.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $463.21 / $555.85 / $696.32	Professional		$463.21	$555.85	$696.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $496.31 / $1,114.17	Professional		$257.01	$496.31	$1,114.17
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 $450.81 / $675.75 / $1,039.98	Professional		$450.81	$675.75	$1,039.98