Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.64 / $567.16 / $5,634.00	Facility		$344.64	$567.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.64 / $378.72 / $465.26	Professional		$344.64	$378.72	$465.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $461.39 / $664.80	Professional		$320.20	$461.39	$664.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.60 / $449.28 / $694.53	Facility		$335.60	$449.28	$694.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $440.38 / $634.14	Professional		$352.30	$440.38	$634.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $276.57 / $611.86	Facility		$50.00	$276.57	$611.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.72 / $404.49 / $688.50	Professional		$284.72	$404.49	$688.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.13 / $409.79 / $763.02	Professional		$315.13	$409.79	$763.02