Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $3,822.00	Professional		$973.77	$973.77	$3,822.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $57.90	Facility		$30.00	$30.00	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $40.64	Professional		$25.50	$30.00	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,664.93 / $2,763.63 / $3,464.41	Facility		$2,664.93	$2,763.63	$3,464.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,072.71 / $3,197.91 / $3,997.39	Professional		$2,072.71	$3,197.91	$3,997.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $39.60 / $1,532.65	Professional		$33.65	$39.60	$1,532.65