Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Professional		$1,427.45	$1,427.45	$1,441.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,927.06 / $2,283.92	Facility		$1,427.45	$1,927.06	$2,283.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,570.20 / $2,069.80	Professional		$1,427.45	$1,570.20	$2,069.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,479.00 / $1,479.00	Facility		$1,427.45	$1,479.00	$1,479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,002.64	Professional		$1,427.45	$1,427.45	$2,002.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $1,484.54	Professional		$45.00	$45.00	$1,484.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,528.80	Professional		$1,427.45	$1,427.45	$1,528.80