Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $791.87 / $5,634.00	Facility		$298.88	$791.87	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $395.37 / $533.95	Professional		$280.75	$395.37	$533.95
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 $238.24 / $280.29 / $398.01	Professional		$238.24	$280.29	$398.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.01 / $453.45 / $666.84	Facility		$326.01	$453.45	$666.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.89 / $544.62 / $754.10	Professional		$439.89	$544.62	$754.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $448.24 / $922.94	Professional		$304.38	$448.24	$922.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $3,870.00 / $6,474.00	Facility		$1,403.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $499.88 / $904.13	Professional		$385.40	$499.88	$904.13