Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $4,323.00 / $5,236.00	Facility		$1,300.00	$4,323.00	$5,236.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.64 / $3,905.00 / $4,323.00	Facility		$756.64	$3,905.00	$4,323.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.64 / $756.64 / $1,210.61	Professional		$756.64	$756.64	$1,210.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $358.06 / $549.16	Facility		$73.69	$358.06	$549.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $392.26 / $529.54	Professional		$76.76	$392.26	$529.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.30 / $4,323.00 / $4,323.00	Facility		$810.30	$4,323.00	$4,323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $451.04 / $2,537.75	Professional		$280.66	$451.04	$2,537.75
United Facility/Professional Professional Modifier Low / Median / High Price $702.01 / $1,453.40 / $2,781.97	Professional		$702.01	$1,453.40	$2,781.97