Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.04 / $1,184.28 / $1,184.28	Facility		$1,177.04	$1,184.28	$1,184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Professional		$1,172.56	$1,172.56	$1,184.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $2,263.04	Facility		$1,172.56	$1,172.56	$2,263.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,665.03	Professional		$1,172.56	$1,172.56	$1,665.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,758.84	Facility		$1,172.56	$1,172.56	$1,758.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,407.07	Professional		$1,172.56	$1,172.56	$1,407.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,453.97	Professional		$1,172.56	$1,172.56	$1,453.97