Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Professional		$1,052.89	$1,052.89	$1,063.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.52 / $1,052.89 / $1,052.89	Professional		$947.52	$1,052.89	$1,052.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,474.05 / $1,684.62	Facility		$1,052.89	$1,474.05	$1,684.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,158.18 / $1,526.69	Professional		$1,052.89	$1,158.18	$1,526.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.30 / $848.30 / $1,052.89	Facility		$848.30	$848.30	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.58 / $1,052.89 / $1,187.24	Professional		$431.58	$1,052.89	$1,187.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $390.23 / $1,095.00	Professional		$300.18	$390.23	$1,095.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.25 / $1,052.89 / $1,127.65	Professional		$1,000.25	$1,052.89	$1,127.65