Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $2,815.34 / $3,456.00	Facility		$768.00	$2,815.34	$3,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $768.00	Professional		$768.00	$768.00	$768.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.17 / $1,600.00 / $2,284.82	Facility		$1,028.17	$1,600.00	$2,284.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.04 / $1,142.41 / $1,544.00	Professional		$971.04	$1,142.41	$1,544.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $52.73	Facility		$40.56	$40.56	$52.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $64.90	Professional		$40.56	$40.56	$64.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $3,225.92	Professional		$816.00	$816.00	$3,225.92
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,142.41	Professional		$800.00	$800.00	$1,142.41