Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Professional		$1,961.00	$1,961.00	$1,980.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,745.40 / $3,137.60	Facility		$1,961.00	$2,745.40	$3,137.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,157.10 / $2,843.45	Professional		$1,961.00	$2,157.10	$2,843.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,040.00 / $2,040.00	Facility		$1,961.00	$2,040.00	$2,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,775.00	Professional		$1,961.00	$1,961.00	$2,775.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $2,094.56	Professional		$45.00	$45.00	$2,094.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,100.23	Professional		$1,961.00	$1,961.00	$2,100.23