Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,296.00	Facility		$1,296.00	$1,296.00	$1,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,344.60	Professional		$1,296.00	$1,296.00	$1,344.60
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 $1,212.73 / $1,697.82 / $1,940.37	Facility		$1,212.73	$1,697.82	$1,940.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.98 / $1,334.00 / $1,815.72	Professional		$1,191.98	$1,334.00	$1,815.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
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 $1,350.00 / $1,350.00 / $1,404.00	Professional		$1,350.00	$1,350.00	$1,404.00