Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $850.00 / $1,637.56	Facility		$825.00	$850.00	$1,637.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.93 / $1,412.59 / $1,734.32	Professional		$1,358.93	$1,412.59	$1,734.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $53.13 / $1,342.67	Professional		$37.97	$53.13	$1,342.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.75 / $1,955.86 / $2,551.13	Facility		$1,700.75	$1,955.86	$2,551.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,289.37 / $2,289.37 / $2,289.37	Professional		$2,289.37	$2,289.37	$2,289.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.77 / $2,095.62 / $2,510.79	Professional		$1,996.77	$2,095.62	$2,510.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,821.80 / $2,429.06	Professional		$1,342.67	$1,821.80	$2,429.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $2,429.06	Professional		$1,342.67	$1,342.67	$2,429.06