Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $988.26	Facility		$143.50	$143.50	$988.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.00 / $988.26 / $988.26	Professional		$814.00	$988.26	$988.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.81 / $900.00 / $3,750.00	Facility		$728.81	$900.00	$3,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $900.00 / $1,361.70	Professional		$765.00	$900.00	$1,361.70
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 $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 $736.38 / $920.47 / $1,188.00	Professional		$736.38	$920.47	$1,188.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $116.26	Professional		$21.46	$21.46	$116.26