Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,760.00	Facility		$1,760.00	$1,760.00	$1,760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,826.00	Professional		$1,760.00	$1,760.00	$1,826.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $1,760.00	Professional		$2.37	$2.37	$1,760.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $90.17 / $90.17	Facility		$90.17	$90.17	$90.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $74.06 / $90.17	Professional		$66.79	$74.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
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 $2,200.00 / $2,200.00 / $2,356.19	Professional		$2,200.00	$2,200.00	$2,356.19