Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.40 / $497.60 / $4,846.00	Facility		$414.40	$497.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $414.40 / $511.66	Professional		$401.56	$414.40	$511.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,769.00 / $8,637.62 / $12,441.54	Facility		$3,769.00	$8,637.62	$12,441.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.87 / $552.79 / $762.85	Professional		$469.87	$552.79	$762.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.96 / $539.07 / $622.01	Facility		$422.96	$539.07	$622.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.67 / $497.60 / $622.01	Professional		$414.67	$497.60	$622.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $577.07 / $987.11	Professional		$474.84	$577.07	$987.11
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 $449.38 / $585.19 / $852.97	Professional		$449.38	$585.19	$852.97