Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.43 / $1,895.98 / $7,212.00	Facility		$235.43	$1,895.98	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $337.04 / $474.28	Professional		$214.37	$337.04	$474.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $211.36 / $300.13	Professional		$179.65	$211.36	$300.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.48 / $317.04 / $450.19	Professional	50	$269.48	$317.04	$450.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.28 / $356.07 / $523.65	Facility		$247.28	$356.07	$523.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $473.53 / $655.65	Professional		$382.46	$473.53	$655.65
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 $239.53 / $363.76 / $677.64	Professional		$239.53	$363.76	$677.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.80 / $430.68 / $773.34	Professional		$322.80	$430.68	$773.34