Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,249.66	Professional		$1,237.28	$1,237.28	$1,249.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,732.19 / $1,979.65	Facility		$1,237.28	$1,732.19	$1,979.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,361.01 / $1,794.06	Professional		$1,237.28	$1,361.01	$1,794.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,428.00 / $1,428.00	Facility		$1,237.28	$1,428.00	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,739.23	Professional		$1,190.44	$1,237.28	$1,739.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $1,055.97	Professional		$45.00	$45.00	$1,055.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,538.05	Professional		$1,190.44	$1,237.28	$1,538.05