Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.07 / $2,318.00 / $7,212.00	Facility		$1,146.07	$2,318.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $1,146.07 / $1,547.20	Professional		$1,103.96	$1,146.07	$1,547.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,666.22 / $1,666.22 / $1,666.22	Professional		$1,666.22	$1,666.22	$1,666.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $6,340.00 / $15,727.00	Facility		$2,310.00	$6,340.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.85 / $1,184.58 / $1,634.73	Professional		$898.85	$1,184.58	$1,634.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.81 / $1,444.05 / $1,666.22	Facility		$1,110.81	$1,444.05	$1,666.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,110.81 / $1,332.97 / $1,666.22	Professional		$1,110.81	$1,332.97	$1,666.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $4,634.62	Facility		$3,909.74	$3,909.74	$4,634.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.32 / $1,495.37 / $2,554.87	Professional		$1,142.32	$1,495.37	$2,554.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.76 / $1,417.97 / $2,655.75	Professional		$1,075.76	$1,417.97	$2,655.75