Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $627.61 / $5,634.00	Facility		$237.17	$627.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.17 / $280.33 / $516.26	Professional		$237.17	$280.33	$516.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,810.27	Facility		$1,682.00	$3,950.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.04 / $611.79 / $848.80	Professional		$496.04	$611.79	$848.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.34 / $308.37 / $527.96	Facility		$230.34	$308.37	$527.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $333.03 / $479.55	Professional		$266.42	$333.03	$479.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.68 / $326.00 / $422.00	Facility		$199.68	$326.00	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $528.32 / $759.95	Professional		$295.97	$528.32	$759.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $422.07 / $713.50	Professional		$279.58	$422.07	$713.50