Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $512.86	Facility		$141.25	$380.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,584.89	Professional		$794.33	$1,047.13	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,089.30	Facility		$1,047.13	$1,584.89	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00