Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,340.00	Facility		$1,340.00	$1,340.00	$1,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,340.00	Professional		$1,340.00	$1,340.00	$1,340.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $2,123.00	Facility		$1,100.00	$1,100.00	$2,123.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,562.00	Professional		$1,100.00	$1,100.00	$1,562.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,272.31 / $1,945.89 / $2,245.26	Facility		$1,272.31	$1,945.89	$2,245.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.84 / $1,871.05 / $2,245.26	Professional		$1,496.84	$1,871.05	$2,245.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,094.59	Professional		$1,675.00	$1,675.00	$2,094.59