Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Facility		$1,195.20	$1,195.20	$1,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,210.14	Professional		$1,195.20	$1,195.20	$1,210.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $291.27 / $562.15	Facility		$291.27	$291.27	$562.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $466.03	Professional		$291.27	$291.27	$466.03
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 $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,867.50	Professional		$1,245.00	$1,245.00	$1,867.50