Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,760.00	Facility		$1,760.00	$1,760.00	$1,760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,782.00	Professional		$1,760.00	$1,760.00	$1,782.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.75 / $1,870.00	Professional		$1.90	$3.75	$1,870.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $88.26	Facility		$64.41	$64.41	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,566.67	Professional		$2,200.00	$2,200.00	$2,566.67