Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,944.00 / $2,944.00	Facility		$1,334.00	$2,944.00	$2,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,539.19 / $2,944.00 / $2,944.00	Professional		$2,539.19	$2,944.00	$2,944.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $1,022.90	Facility		$530.00	$530.00	$1,022.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $752.60	Professional		$530.00	$530.00	$752.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $66.51 / $103.10	Facility		$64.41	$66.51	$103.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $79.81	Professional		$66.51	$66.51	$79.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,677.25	Professional		$3,200.00	$3,200.00	$3,677.25