Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $1,386.00 / $5,634.00	Facility		$607.24	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $607.24 / $654.13	Professional		$227.51	$607.24	$654.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $1,679.10	Facility		$870.00	$870.00	$1,679.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $870.00 / $1,174.50	Professional		$739.50	$870.00	$1,174.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.03 / $868.04 / $23,326.89	Facility		$620.03	$868.04	$23,326.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.03 / $775.04 / $1,162.56	Professional		$620.03	$775.04	$1,162.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $394.71 / $1,001.71	Facility		$356.73	$394.71	$1,001.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $1,148.40	Professional		$540.82	$540.82	$1,148.40
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $690.85 / $1,125.19	Professional		$492.66	$690.85	$1,125.19