Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.68 / $1,214.63 / $3,240.63	Facility		$404.68	$1,214.63	$3,240.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,530.43	Professional		$1,214.63	$1,214.63	$1,530.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.45 / $1,124.43 / $1,433.26	Facility		$1,079.45	$1,124.43	$1,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.97 / $1,214.63 / $1,214.63	Professional		$910.97	$1,214.63	$1,214.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,416.47 / $2,410.44 / $55,999.44	Facility		$1,416.47	$2,410.44	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.35 / $1,339.13 / $2,337.17	Professional		$875.35	$1,339.13	$2,337.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,762.95 / $1,762.95	Professional		$1,238.93	$1,762.95	$1,762.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63