Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Facility		$2,979.56	$2,979.56	$2,979.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,009.35	Professional		$2,979.56	$2,979.56	$3,009.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.56 / $2,979.56	Professional		$2,979.55	$2,979.56	$2,979.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $4,171.38 / $4,767.30	Facility		$2,979.56	$4,171.38	$4,767.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $3,277.52 / $4,320.35	Professional		$2,979.56	$3,277.52	$4,320.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,863.13 / $2,863.13 / $2,979.55	Facility		$2,863.13	$2,863.13	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $2,979.55 / $3,975.27	Professional		$2,901.66	$2,979.55	$3,975.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,098.74	Professional		$45.00	$45.00	$3,098.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,191.11	Professional		$2,979.56	$2,979.56	$3,191.11