Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.65 / $1,921.65 / $2,058.89	Facility		$1,921.65	$1,921.65	$2,058.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,038.50	Professional		$1,902.62	$1,902.62	$2,038.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,672.06	Facility		$1,902.62	$1,902.62	$3,672.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,701.72	Professional		$1,902.62	$1,902.62	$2,701.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,853.93	Facility		$1,902.62	$1,902.62	$2,853.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,283.14	Professional		$1,902.62	$1,902.62	$2,283.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,359.25	Professional		$1,902.62	$1,902.62	$2,359.25