Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Professional		$1,172.56	$1,172.56	$1,184.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.67 / $1,172.56 / $1,172.56	Professional		$996.67	$1,172.56	$1,172.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,641.58 / $1,876.10	Facility		$1,172.56	$1,641.58	$1,876.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,289.82 / $1,700.21	Professional		$1,172.56	$1,289.82	$1,700.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,192.50 / $1,192.50	Facility		$1,172.56	$1,192.50	$1,192.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,172.56 / $1,659.28	Professional		$1,165.39	$1,172.56	$1,659.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,192.50 / $1,192.50 / $1,550.25	Professional		$1,192.50	$1,192.50	$1,550.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,255.81	Professional		$1,172.56	$1,172.56	$1,255.81