Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,249.25 / $75,936.74 / $75,936.74	Facility		$74,249.25	$75,936.74	$75,936.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $274.82 / $274.82	Professional		$233.60	$274.82	$274.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $302.57 / $516.89	Professional		$239.53	$302.57	$516.89