Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,296.00	Facility		$1,296.00	$1,296.00	$1,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,312.20	Professional		$1,296.00	$1,296.00	$1,312.20
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 $1,147.46 / $1,274.95 / $1,784.93	Facility		$1,147.46	$1,274.95	$1,784.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.73 / $1,274.95 / $1,529.94	Professional		$1,212.73	$1,274.95	$1,529.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,025.00	Professional		$1,350.00	$1,350.00	$2,025.00