Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.95 / $439.81 / $4,846.00	Facility		$365.95	$439.81	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $365.95 / $439.81	Professional		$336.19	$365.95	$439.81
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 $350.86 / $438.58 / $617.20	Professional		$350.86	$438.58	$617.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.84 / $476.46 / $549.77	Facility		$373.84	$476.46	$549.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $439.81 / $549.77	Professional		$366.51	$439.81	$549.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $471.32 / $848.12	Professional		$348.03	$471.32	$848.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.49 / $460.69 / $698.28	Professional		$334.49	$460.69	$698.28