Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Facility		$1,663.50	$1,663.50	$1,663.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Professional		$1,663.50	$1,663.50	$3,424.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,168.48 / $3,650.20 / $4,267.33	Professional		$3,168.48	$3,650.20	$4,267.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.31 / $779.74 / $7,797.33	Facility		$403.31	$779.74	$7,797.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $887.28 / $7,797.33	Professional		$537.75	$887.28	$7,797.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $418.24 / $3,983.31	Professional		$244.97	$418.24	$3,983.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.76 / $1,565.64 / $3,540.72	Professional		$1,043.76	$1,565.64	$3,540.72