Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.05 / $1,857.05 / $1,857.05	Facility		$1,857.05	$1,857.05	$1,857.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,857.05 / $2,043.54	Professional		$1,195.98	$1,857.05	$2,043.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.77 / $1,750.77 / $3,378.99	Facility		$1,750.77	$1,750.77	$3,378.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,750.77 / $1,750.77 / $2,666.90	Professional		$1,750.77	$1,750.77	$2,666.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $291.17 / $4,367.60	Facility		$183.70	$291.17	$4,367.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.38 / $302.37 / $3,174.92	Professional		$190.38	$302.37	$3,174.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $303.33 / $2,311.02	Professional		$257.83	$303.33	$2,311.02
United Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $154.31 / $2,266.92	Professional		$86.47	$154.31	$2,266.92