Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.15 / $1,047.15 / $1,047.15	Facility		$1,047.15	$1,047.15	$1,047.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.48 / $1,047.15 / $1,089.08	Professional		$832.48	$1,047.15	$1,089.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.75 / $1,057.75 / $2,041.46	Facility		$1,057.75	$1,057.75	$2,041.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.71 / $1,057.75 / $1,425.00	Professional		$941.71	$1,057.75	$1,425.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $202.67 / $2,043.36	Facility		$109.13	$202.67	$2,043.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $210.47 / $2,145.53	Professional		$132.52	$210.47	$2,145.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $989.22 / $1,396.23	Professional		$176.79	$989.22	$1,396.23
United Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $713.71 / $1,207.26	Professional		$522.87	$713.71	$1,207.26