Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,215.00	Professional		$1,200.00	$1,200.00	$1,215.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,930.00	Facility		$1,000.00	$1,000.00	$1,930.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,400.00	Professional		$1,000.00	$1,000.00	$1,400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $1,180.41 / $1,770.62	Facility		$1,180.41	$1,180.41	$1,770.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,180.41 / $1,180.41 / $1,416.49	Professional		$1,180.41	$1,180.41	$1,416.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,500.00	Professional		$1,275.00	$1,275.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,550.00	Professional		$1,250.00	$1,250.00	$1,550.00