Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Facility		$1,195.20	$1,195.20	$1,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,240.02	Professional		$1,195.20	$1,195.20	$1,240.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $291.27	Professional		$291.27	$291.27	$291.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $550.49 / $550.49	Facility		$90.17	$550.49	$550.49
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 $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
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 $1,245.00 / $1,245.00 / $1,333.40	Professional		$1,245.00	$1,245.00	$1,333.40