Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Professional		$1,412.54	$1,412.54	$1,513.56
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 $1,380.38 / $1,412.54 / $2,187.76	Professional		$1,380.38	$1,412.54	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $2,884.03	Facility		$1,412.54	$2,137.96	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $1,445.44	Professional		$125.89	$1,230.27	$1,445.44