Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.78 / $1,466.78 / $1,742.29	Facility		$1,466.78	$1,466.78	$1,742.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,597.48	Professional		$1,452.25	$1,452.25	$1,597.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,802.84	Facility		$1,452.25	$1,452.25	$2,802.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,062.19	Professional		$1,452.25	$1,452.25	$2,062.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,178.38	Facility		$1,452.25	$1,452.25	$2,178.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,742.70	Professional		$1,452.25	$1,452.25	$1,742.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,709.04	Professional		$1,452.25	$1,452.25	$1,709.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,939.92	Professional		$1,452.25	$1,452.25	$1,939.92