Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Professional		$1,412.54	$1,412.54	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,412.54	Professional		$1,380.38	$1,412.54	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,290.87	Facility		$1,412.54	$1,412.54	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,089.30	Professional		$1,412.54	$1,584.89	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Facility		$1,412.54	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $6,025.60	Professional		$1,412.54	$1,412.54	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,318.26 / $1,445.44	Professional		$125.89	$1,318.26	$1,445.44