Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.88 / $3,500.00 / $5,634.00	Facility		$529.88	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $529.88 / $662.34	Professional		$486.01	$529.88	$662.34
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 $459.53 / $695.09 / $1,081.25	Facility		$459.53	$695.09	$1,081.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.30 / $617.86 / $926.79	Professional		$503.30	$617.86	$926.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.65 / $687.08 / $979.69	Professional		$540.65	$687.08	$979.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $8,348.00 / $12,569.00	Facility		$3,846.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.67 / $335.60 / $586.78	Professional		$246.67	$335.60	$586.78