Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $246.23	Facility		$143.50	$143.50	$246.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $246.23	Professional		$112.20	$246.23	$246.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $728.81 / $900.00	Facility		$125.00	$728.81	$900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $200.00	Professional		$125.00	$125.00	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,335.90 / $16,442.98 / $23,242.91	Facility		$15,335.90	$16,442.98	$23,242.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36,749.62 / $36,749.62 / $36,749.62	Professional		$36,749.62	$36,749.62	$36,749.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $264.45	Facility		$143.50	$143.50	$264.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $116.26 / $125.00	Professional		$21.46	$116.26	$125.00