Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,045.15 / $1,776.76	Facility		$1,044.14	$1,045.15	$1,776.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.19 / $1,232.49 / $2,090.30	Facility		$1,183.19	$1,232.49	$2,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.37 / $1,045.15 / $1,045.15	Professional		$888.37	$1,045.15	$1,045.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,672.24	Facility		$1,045.15	$1,045.15	$1,672.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,097.41 / $1,463.21	Professional		$1,045.15	$1,097.41	$1,463.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,346.40	Facility		$1,045.15	$1,045.15	$1,346.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,993.18 / $1,993.18	Professional		$1,045.15	$1,993.18	$1,993.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15