Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $5,782.40	Facility		$1,040.00	$1,040.00	$5,782.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,079.00	Professional		$1,040.00	$1,040.00	$1,079.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,305.17 / $2,023.78	Facility		$0.02	$1,305.17	$2,023.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.01 / $1,235.00 / $1,235.00	Professional		$1,157.01	$1,235.00	$1,235.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,100.67 / $1,100.67 / $1,100.67	Professional		$1,100.67	$1,100.67	$1,100.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,443.30	Facility		$1,066.90	$1,066.90	$1,443.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,066.90 / $6,049.29	Professional		$1,040.00	$1,066.90	$6,049.29
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 $1,235.00 / $1,235.00 / $1,300.00	Professional		$1,235.00	$1,235.00	$1,300.00