Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $3,600.00	Facility		$800.00	$800.00	$3,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $409.16	Facility		$212.00	$212.00	$409.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $212.00 / $286.20	Professional		$180.20	$212.00	$286.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $1,134.00 / $1,260.00	Facility		$1,134.00	$1,134.00	$1,260.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $1,134.00 / $1,134.00	Professional		$1,134.00	$1,134.00	$1,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $583.00	Professional		$212.00	$212.00	$583.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $283.19	Professional		$212.00	$212.00	$283.19