Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $195.18	Facility		$143.50	$143.50	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $195.18 / $1,125.00	Professional		$110.00	$195.18	$1,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $72.00 / $809.79	Facility		$36.00	$72.00	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $36.00 / $350.00	Professional		$6.30	$36.00	$350.00
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 $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 $47.52 / $118.94 / $148.68	Professional		$47.52	$118.94	$148.68
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $116.26	Professional		$21.46	$21.46	$116.26