Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,047.13	Professional		$870.96	$1,047.13	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,698.24	Facility		$1,047.13	$1,047.13	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,479.11	Professional		$1,047.13	$1,122.02	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,412.54	Facility		$1,047.13	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,466.84	Professional		$1,047.13	$1,047.13	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,479.11	Professional		$1,096.48	$1,096.48	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00