Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $1,540.50 / $8,673.60	Facility		$358.75	$1,540.50	$8,673.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $1,540.50 / $1,794.00	Professional		$358.75	$1,540.50	$1,794.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $239.16 / $239.16	Facility		$239.16	$239.16	$239.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $800.00 / $800.00	Professional		$600.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $26,163.31 / $51,941.87	Facility		$2,632.50	$26,163.31	$51,941.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.50 / $2,730.00 / $36,166.92	Professional		$2,242.50	$2,730.00	$36,166.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,517.30 / $3,191.10	Facility		$1,267.50	$1,517.30	$3,191.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $2,486.98 / $9,399.00	Professional		$1,462.50	$2,486.98	$9,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $1,950.00	Professional		$819.00	$1,170.00	$1,950.00