Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Facility		$171.15	$171.15	$171.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $289.19	Professional		$171.15	$171.15	$289.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $1,254.50	Facility		$650.00	$650.00	$1,254.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $650.00 / $877.50	Professional		$520.00	$650.00	$877.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.60 / $559.58 / $701.47	Facility		$539.60	$559.58	$701.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.69 / $647.51 / $809.39	Professional		$419.69	$647.51	$809.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $445.60 / $858.00	Professional		$74.48	$445.60	$858.00