Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.74 / $834.00 / $11,093.00	Facility		$342.74	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $437.52 / $518.98	Professional		$342.74	$437.52	$518.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $386.41 / $583.64	Professional		$301.74	$386.41	$583.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.85 / $446.94 / $776.21	Facility		$333.85	$446.94	$776.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $525.04 / $756.08	Professional		$420.04	$525.04	$756.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $608.16 / $1,375.01	Facility		$450.00	$608.16	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.49 / $467.51 / $784.01	Professional		$334.49	$467.51	$784.01
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 $375.57 / $504.85 / $921.59	Professional		$375.57	$504.85	$921.59