Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,152.00	Facility		$1,152.00	$1,152.00	$1,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,195.20	Professional		$1,152.00	$1,152.00	$1,195.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $386.49 / $420.26	Professional		$359.16	$386.49	$420.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.12 / $730.46	Facility		$93.11	$93.12	$730.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $76.48 / $93.12	Professional		$68.98	$76.48	$93.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.12 / $1,224.00 / $1,224.00	Professional		$483.12	$1,224.00	$1,224.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $386.49	Professional		$45.00	$45.00	$386.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.44 / $1,200.00 / $1,236.00	Professional		$1,134.44	$1,200.00	$1,236.00