Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.49 / $298.49 / $298.49	Facility		$298.49	$298.49	$298.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.49 / $345.75 / $407.82	Professional		$298.49	$345.75	$407.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $1,278.00 / $2,466.54	Facility		$1,278.00	$1,278.00	$2,466.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $1,278.00 / $1,814.76	Professional		$1,278.00	$1,278.00	$1,814.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,649.61 / $16,774.95 / $23,574.89	Facility		$15,649.61	$16,774.95	$23,574.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.21 / $804.21 / $804.21	Professional		$804.21	$804.21	$804.21