Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.27 / $927.00 / $7,212.00	Facility		$342.27	$927.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $342.27 / $413.21	Professional		$303.39	$342.27	$413.21
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 $313.26 / $368.55 / $523.34	Professional		$313.26	$368.55	$523.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.23 / $447.64 / $516.51	Facility		$351.23	$447.64	$516.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.34 / $413.21 / $516.51	Professional		$344.34	$413.21	$516.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $442.95 / $792.70	Professional		$354.10	$442.95	$792.70
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 $337.20 / $428.02 / $652.42	Professional		$337.20	$428.02	$652.42