Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,509.35	Professional		$1,494.41	$1,494.41	$1,509.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,497.92	Professional		$1,494.41	$1,494.41	$1,497.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $2,092.17 / $2,391.06	Facility		$1,494.41	$2,092.17	$2,391.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,643.85 / $2,166.89	Professional		$1,494.41	$1,643.85	$2,166.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $2,406.17 / $2,406.17	Facility		$1,494.41	$2,406.17	$2,406.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,114.73	Professional		$1,494.41	$1,494.41	$2,114.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $1,554.12 / $1,942.66	Professional		$1,494.35	$1,554.12	$1,942.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,101.31	Professional		$1,494.41	$1,494.41	$2,101.31