Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $2,160.00 / $2,656.80	Facility		$828.00	$2,160.00	$2,656.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $612.00 / $720.00	Professional		$489.60	$612.00	$720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $2,160.00 / $3,908.88	Facility		$228.90	$2,160.00	$3,908.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $435.60	Professional		$228.90	$228.90	$435.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $900.00 / $15,870.64	Facility		$720.00	$900.00	$15,870.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $792.00 / $972.00	Professional		$720.00	$792.00	$972.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,360.86 / $2,808.10	Facility		$468.00	$1,360.86	$2,808.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $827.24 / $1,034.05	Professional		$302.14	$827.24	$1,034.05
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $720.00	Professional		$302.39	$432.00	$720.00