Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.86 / $254.86 / $254.86	Facility		$254.86	$254.86	$254.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $295.11 / $632.99	Professional		$254.86	$295.11	$632.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $1,347.00 / $2,599.71	Facility		$1,347.00	$1,347.00	$2,599.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.59 / $1,347.00 / $1,912.74	Professional		$1,077.59	$1,347.00	$1,912.74
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 $689.20 / $689.20 / $689.20	Professional		$689.20	$689.20	$689.20