Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.65 / $2,774.70 / $14,063.00	Facility		$1,079.65	$2,774.70	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.80 / $1,091.26 / $1,493.83	Professional		$978.80	$1,091.26	$1,493.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,578.36 / $1,578.36 / $1,578.36	Professional		$1,578.36	$1,578.36	$1,578.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,219.00 / $30,900.00	Facility		$4,146.00	$9,219.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.24 / $1,656.50 / $2,261.67	Professional		$1,052.24	$1,656.50	$2,261.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.28 / $1,473.14 / $2,209.71	Facility		$1,073.28	$1,473.14	$2,209.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.24 / $1,315.30 / $1,894.04	Professional		$1,052.24	$1,315.30	$1,894.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,963.58 / $5,963.58 / $7,069.24	Facility		$5,963.58	$5,963.58	$7,069.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.61 / $1,652.59 / $2,499.01	Professional		$1,187.61	$1,652.59	$2,499.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.43 / $1,323.70 / $2,329.91	Professional		$945.43	$1,323.70	$2,329.91