Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,089.16	Professional		$2,068.46	$2,068.46	$2,089.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,895.86 / $3,309.55	Facility		$2,068.46	$2,895.86	$3,309.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,275.32 / $2,999.28	Professional		$2,068.46	$2,275.32	$2,999.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,825.40 / $2,825.40	Facility		$2,068.46	$2,825.40	$2,825.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,042.18	Professional		$2,068.46	$2,068.46	$3,042.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $228.88 / $2,309.39	Professional		$176.06	$228.88	$2,309.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,220.57	Professional		$2,068.46	$2,068.46	$2,220.57