Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $927.00 / $7,212.00	Facility		$332.08	$927.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $332.08 / $395.33	Professional		$292.80	$332.08	$395.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.54 / $425.86 / $587.67	Professional		$265.54	$425.86	$587.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.27 / $395.45 / $456.29	Facility		$310.27	$395.45	$456.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.19 / $357.11 / $456.29	Professional		$304.19	$357.11	$456.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $430.41 / $938.52	Professional		$334.40	$430.41	$938.52
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 $313.20 / $396.34 / $592.91	Professional		$313.20	$396.34	$592.91