Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.44 / $1,989.59 / $1,989.59	Facility		$1,807.44	$1,989.59	$1,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Professional		$1,969.89	$1,969.89	$1,989.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $3,801.89	Facility		$1,969.89	$1,969.89	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,797.24	Professional		$1,969.89	$1,969.89	$2,797.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,954.84	Facility		$1,969.89	$1,969.89	$2,954.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,363.87	Professional		$1,969.89	$1,969.89	$2,363.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,442.66	Professional		$1,969.89	$1,969.89	$2,442.66