Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.33 / $1,249.66 / $1,249.66	Facility		$1,202.33	$1,249.66	$1,249.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,249.66	Professional		$1,237.28	$1,237.28	$1,249.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $2,387.94	Facility		$1,237.28	$1,237.28	$2,387.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,756.93	Professional		$1,237.28	$1,237.28	$1,756.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,855.92	Facility		$1,237.28	$1,237.28	$1,855.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,484.74	Professional		$1,237.28	$1,237.28	$1,484.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,534.23	Professional		$1,237.28	$1,237.28	$1,534.23