Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Professional		$1,640.93	$1,640.93	$1,657.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.79 / $1,640.93 / $1,640.93	Professional		$1,394.79	$1,640.93	$1,640.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $2,297.30 / $2,625.49	Facility		$1,640.93	$2,297.30	$2,625.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,805.02 / $2,379.35	Professional		$1,640.93	$1,805.02	$2,379.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.96 / $1,571.96 / $1,640.93	Facility		$1,571.96	$1,571.96	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,322.07	Professional		$1,640.93	$1,640.93	$2,322.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $418.80	Professional		$45.00	$45.00	$418.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,757.44	Professional		$1,640.93	$1,640.93	$1,757.44