Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $718.00	Facility		$718.00	$718.00	$718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $726.98	Professional		$718.00	$718.00	$726.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.55 / $919.55 / $1,774.73	Facility		$919.55	$919.55	$1,774.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $919.55 / $1,305.76	Professional		$789.80	$919.55	$1,305.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $88.26	Facility		$64.41	$64.41	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $919.55	Professional		$762.88	$762.88	$919.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,476.90	Professional		$1,997.50	$1,997.50	$2,476.90