Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,729.06	Professional		$3,692.14	$3,692.14	$3,729.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $5,169.00 / $5,907.42	Facility		$3,692.14	$5,169.00	$5,907.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $4,061.35 / $5,353.60	Professional		$3,692.14	$4,061.35	$5,353.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,929.02 / $2,929.02 / $3,692.14	Facility		$2,929.02	$2,929.02	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,143.13	Professional		$3,692.14	$3,692.14	$5,143.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,807.73	Professional		$45.00	$45.00	$3,807.73
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,954.28	Professional		$3,692.14	$3,692.14	$3,954.28