Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $3,500.00 / $5,634.00	Facility		$114.90	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $118.14 / $448.80	Professional		$108.57	$118.14	$448.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $508.46	Facility		$210.00	$210.00	$508.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $223.93 / $289.80	Professional		$178.50	$223.93	$289.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $133.88 / $156.19	Facility		$111.57	$133.88	$156.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $133.88 / $159.96	Professional		$111.57	$133.88	$159.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $156.13 / $277.20	Professional		$111.59	$156.13	$277.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,582.00 / $12,569.00	Facility		$3,932.00	$8,582.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $138.47 / $249.59	Professional		$102.99	$138.47	$249.59