Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.35 / $1,509.35 / $1,557.67	Facility		$1,509.35	$1,509.35	$1,557.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,542.24	Professional		$1,494.41	$1,494.41	$1,542.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,884.21	Facility		$1,494.41	$1,494.41	$2,884.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,122.06	Professional		$1,494.41	$1,494.41	$2,122.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,241.62	Facility		$1,494.41	$1,494.41	$2,241.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,793.29	Professional		$1,494.41	$1,494.41	$1,793.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,933.62	Professional		$1,494.41	$1,494.41	$1,933.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,689.94	Professional		$1,494.41	$1,494.41	$2,689.94