Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,407.05	Professional		$1,393.12	$1,393.12	$1,407.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,536.61	Professional		$1,393.12	$1,393.12	$1,536.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,950.37 / $2,228.98	Facility		$1,393.12	$1,950.37	$2,228.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,532.43 / $2,020.02	Professional		$1,393.12	$1,532.43	$2,020.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,989.00 / $1,989.00	Facility		$1,393.12	$1,989.00	$1,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,347.06	Professional		$1,393.12	$1,393.12	$2,347.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $1,781.70	Professional		$45.00	$45.00	$1,781.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,713.18	Professional		$1,393.12	$1,393.12	$1,713.18