Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,152.00	Facility		$1,152.00	$1,152.00	$1,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,152.00	Professional		$1,152.00	$1,152.00	$1,152.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.97 / $246.97 / $745.93	Facility		$246.97	$246.97	$745.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $386.49 / $386.49	Professional		$246.97	$386.49	$386.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $91.15	Facility		$66.51	$66.51	$91.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $79.81 / $99.77	Professional		$66.51	$79.81	$99.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,488.00	Professional		$1,200.00	$1,200.00	$1,488.00