Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $2,310.00 / $7,652.07	Facility		$924.00	$2,310.00	$7,652.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $924.00	Professional		$924.00	$924.00	$924.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.10 / $1,271.23 / $2,213.75	Facility		$595.10	$1,271.23	$2,213.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $875.00 / $1,242.50	Professional		$875.00	$875.00	$1,242.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.30 / $5,720.22 / $39,374.61	Facility		$1,224.30	$5,720.22	$39,374.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,124.66 / $34,124.66 / $34,124.66	Professional		$34,124.66	$34,124.66	$34,124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,155.00	Professional		$981.75	$981.75	$1,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,193.50	Professional		$962.50	$962.50	$1,193.50