Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,245.00 / $2,767.50	Facility		$615.00	$1,245.00	$2,767.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.50 / $615.00 / $712.50	Professional		$592.50	$615.00	$712.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $2,250.00 / $4,071.75	Facility		$10.73	$2,250.00	$4,071.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $453.75	Professional		$10.73	$10.73	$453.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $937.50 / $16,533.81	Facility		$750.00	$937.50	$16,533.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $825.00 / $1,012.50	Professional		$750.00	$825.00	$1,012.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $1,417.72 / $2,924.31	Facility		$487.50	$1,417.72	$2,924.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $861.93 / $1,077.41	Professional		$14.16	$861.93	$1,077.41
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $750.00	Professional		$315.00	$450.00	$750.00