Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.18 / $824.00 / $5,634.00	Facility		$324.18	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $486.61 / $774.06	Professional		$316.82	$486.61	$774.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.46 / $300.55 / $450.82	Professional		$255.46	$300.55	$450.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.70 / $565.04 / $830.96	Facility		$376.70	$565.04	$830.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $781.47 / $976.84 / $1,406.64	Professional		$781.47	$976.84	$1,406.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $635.77 / $1,150.69	Professional		$356.60	$635.77	$1,150.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $662.52 / $1,182.33	Professional		$502.00	$662.52	$1,182.33