Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.20 / $628.20 / $657.14	Facility		$628.20	$628.20	$657.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $657.14 / $711.32	Professional		$596.34	$657.14	$711.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,800.00 / $3,562.24	Facility		$880.00	$1,800.00	$3,562.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $880.00 / $1,210.40	Professional		$6.30	$880.00	$1,210.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,586.68 / $16,586.68 / $23,386.61	Facility		$16,586.68	$16,586.68	$23,386.61
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 $628.20 / $628.20 / $1,331.35	Facility		$628.20	$628.20	$1,331.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $520.38 / $1,161.59	Professional		$416.30	$520.38	$1,161.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $486.86	Professional		$21.46	$21.46	$486.86