Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.69 / $709.89 / $5,634.00	Facility		$418.69	$709.89	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $449.16 / $558.25	Professional		$418.69	$449.16	$558.25
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 $417.31 / $490.96 / $723.58	Professional		$417.31	$490.96	$723.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $509.24 / $587.58	Facility		$399.55	$509.24	$587.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.05 / $504.06 / $630.08	Professional		$420.05	$504.06	$630.08
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 $432.63 / $559.34 / $934.23	Professional		$432.63	$559.34	$934.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.58 / $5,174.00 / $9,243.00	Facility		$2,398.58	$5,174.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.82 / $508.95 / $901.05	Professional		$431.82	$508.95	$901.05