Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $772.00	Facility		$400.00	$400.00	$772.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $552.00	Professional		$400.00	$400.00	$552.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.01 / $610.25 / $704.13	Facility		$399.01	$610.25	$704.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $586.78 / $704.13	Professional		$469.42	$586.78	$704.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $665.00	Professional		$500.00	$500.00	$665.00