Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,466.78	Professional		$1,452.25	$1,452.25	$1,466.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $2,033.15 / $2,323.60	Facility		$1,452.25	$2,033.15	$2,323.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,597.48 / $2,105.76	Professional		$1,452.25	$1,597.48	$2,105.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $2,550.00 / $2,550.00	Facility		$1,452.25	$2,550.00	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,350.37	Professional		$1,452.25	$1,452.25	$2,350.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $1,794.04	Professional		$45.00	$45.00	$1,794.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,725.04	Professional		$1,452.25	$1,452.25	$1,725.04