Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $3,074.71	Facility		$1,808.65	$1,808.65	$3,074.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,809.44	Professional		$1,808.65	$1,808.65	$1,809.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.52 / $2,132.84 / $3,617.30	Facility		$2,047.52	$2,132.84	$3,617.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.35 / $1,808.65 / $1,808.65	Professional		$1,537.35	$1,808.65	$1,808.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,965.25 / $2,893.84	Facility		$1,808.65	$1,965.25	$2,893.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,989.52 / $2,785.32	Professional		$1,808.65	$1,989.52	$2,785.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,812.01	Facility		$1,808.65	$1,808.65	$1,812.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.15 / $1,808.65 / $3,419.14	Professional		$1,129.15	$1,808.65	$3,419.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,025.69	Professional		$1,808.65	$1,808.65	$2,025.69