Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $645.65	Facility		$275.42	$275.42	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $275.42	Professional		$245.47	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $407.38 / $588.84	Facility		$0.02	$407.38	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $537.03	Professional		$275.42	$275.42	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $52,480.75 / $63,095.73	Facility		$33,113.11	$52,480.75	$63,095.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $831.76	Professional		$302.00	$302.00	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $338.84	Professional		$245.47	$281.84	$338.84