Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.45 / $1,606.45 / $1,670.35	Facility		$1,606.45	$1,606.45	$1,670.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,653.82	Professional		$1,590.54	$1,590.54	$1,653.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,069.74	Facility		$1,590.54	$1,590.54	$3,069.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,258.56	Professional		$1,590.54	$1,590.54	$2,258.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,385.81	Facility		$1,590.54	$1,590.54	$2,385.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,908.65	Professional		$1,590.54	$1,590.54	$1,908.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,385.81	Professional		$1,590.54	$1,590.54	$2,385.81