Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $2,159.84	Professional		$687.10	$1,052.08	$2,159.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $965.00	Facility		$500.00	$500.00	$965.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $500.00 / $677.21	Professional		$456.71	$500.00	$677.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.15 / $1,075.56 / $1,348.30	Facility		$1,037.15	$1,075.56	$1,348.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $1,244.58 / $1,555.73	Professional		$806.67	$1,244.58	$1,555.73
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 $577.04 / $660.00 / $660.00	Professional		$577.04	$660.00	$660.00