Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.34 / $1,657.34 / $1,657.34	Facility		$1,657.34	$1,657.34	$1,657.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Professional		$1,640.93	$1,640.93	$1,657.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,166.99	Facility		$1,640.93	$1,640.93	$3,166.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,330.12	Professional		$1,640.93	$1,640.93	$2,330.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,461.40	Facility		$1,640.93	$1,640.93	$2,461.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,887.07	Professional		$1,640.93	$1,640.93	$1,887.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,640.93 / $1,640.93	Professional		$1,560.00	$1,640.93	$1,640.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,757.44	Professional		$1,640.93	$1,640.93	$1,757.44