Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.60 / $2,318.00 / $5,634.00	Facility		$557.60	$2,318.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $557.60 / $697.00	Professional		$514.42	$557.60	$697.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $276.20 / $533.07	Facility		$276.20	$276.20	$533.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $276.20 / $392.20	Professional		$180.53	$276.20	$392.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.57 / $731.44 / $1,137.80	Facility		$483.57	$731.44	$1,137.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.62 / $650.16 / $975.26	Professional		$529.62	$650.16	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.37 / $708.60 / $1,031.24	Professional		$569.37	$708.60	$1,031.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $326.70 / $541.65	Professional		$228.69	$326.70	$541.65