Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $1,188.00 / $1,188.00	Facility		$1,188.00	$1,188.00	$1,188.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,188.00 / $1,262.25	Professional		$1,188.00	$1,188.00	$1,262.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.75 / $2,072.57 / $2,623.50	Facility		$1,311.75	$2,072.57	$2,623.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.98 / $1,311.75 / $1,770.86	Professional		$1,114.98	$1,311.75	$1,770.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,874.72 / $32,812.17 / $39,374.61	Facility		$28,874.72	$32,812.17	$39,374.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,124.66 / $34,124.66 / $34,124.66	Professional		$34,124.66	$34,124.66	$34,124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $1,311.75 / $1,670.63	Professional		$55.36	$1,311.75	$1,670.63