Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $845.25 / $3,803.63	Facility		$143.50	$845.25	$3,803.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.36 / $845.25 / $979.25	Professional		$780.36	$845.25	$979.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $809.79 / $1,300.00	Facility		$650.00	$809.79	$1,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $650.00 / $1,000.00	Professional		$200.00	$650.00	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,442.98 / $16,442.98 / $23,242.91	Facility		$16,442.98	$16,442.98	$23,242.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,091.63 / $1,143.61 / $1,559.48	Professional		$1,091.63	$1,143.61	$1,559.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $2,508.42	Facility		$143.50	$143.50	$2,508.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.89 / $1,054.53 / $1,693.30	Professional		$508.89	$1,054.53	$1,693.30
United Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $143.50	Facility		$143.50	$143.50	$143.50
United Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $579.85 / $1,213.98	Professional		$392.98	$579.85	$1,213.98