Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Professional		$1,905.46	$1,905.46	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Professional		$1,905.46	$1,905.46	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,019.95	Facility		$1,905.46	$1,905.46	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,691.53	Professional		$1,905.46	$2,041.74	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $3,548.13	Facility		$1,905.46	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $8,128.31	Professional		$1,905.46	$1,905.46	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $2,691.53	Professional		$44.67	$44.67	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,905.46 / $2,238.72	Professional		$125.89	$1,905.46	$2,238.72