Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.00 / $1,207.50 / $3,874.50	Facility		$861.00	$1,207.50	$3,874.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $861.00 / $997.50	Professional		$829.50	$861.00	$997.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.50 / $939.75 / $3,150.00	Facility		$829.50	$939.75	$3,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $800.00	Professional		$420.00	$420.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,260.00 / $1,470.00	Facility		$1,050.00	$1,260.00	$1,470.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,155.00 / $1,522.50	Professional		$1,050.00	$1,155.00	$1,522.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $1,050.00 / $2,443.25	Facility		$682.50	$1,050.00	$2,443.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.33 / $1,206.36 / $1,511.00	Professional		$500.33	$1,206.36	$1,511.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Facility		$1,050.00	$1,050.00	$1,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $625.41 / $1,050.00	Professional		$441.00	$625.41	$1,050.00