Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Professional		$1,969.89	$1,969.89	$1,989.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $2,757.85 / $3,151.82	Facility		$1,969.89	$2,757.85	$3,151.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $2,166.88 / $2,856.34	Professional		$1,969.89	$2,166.88	$2,856.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $2,296.02 / $2,296.02	Facility		$1,969.89	$2,296.02	$2,296.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $2,701.20	Professional		$1,789.55	$1,969.89	$2,701.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $2,048.68	Professional		$45.00	$45.00	$2,048.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,109.75	Professional		$1,969.89	$1,969.89	$2,109.75