Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $15,068.49	Facility		$1,200.00	$1,200.00	$15,068.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,245.00	Professional		$1,200.00	$1,200.00	$1,245.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.80 / $1,571.92 / $1,796.48	Facility		$1,122.80	$1,571.92	$1,796.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.59 / $1,235.08 / $1,681.09	Professional		$1,103.59	$1,235.08	$1,681.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,338.75	Professional		$1,250.00	$1,250.00	$1,338.75