Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.41 / $2,318.00 / $14,063.00	Facility		$1,029.41	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.86 / $1,040.45 / $1,399.88	Professional		$930.86	$1,040.45	$1,399.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,504.22 / $1,504.22 / $1,504.22	Professional		$1,504.22	$1,504.22	$1,504.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $10,389.62 / $15,154.00	Facility		$4,800.00	$10,389.62	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.62 / $1,444.50 / $1,993.41	Professional		$952.62	$1,444.50	$1,993.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,022.87 / $1,403.93 / $2,105.90	Facility		$1,022.87	$1,403.93	$2,105.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,002.81 / $1,253.51 / $1,805.06	Professional		$1,002.81	$1,253.51	$1,805.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.19 / $1,395.26 / $2,306.44	Professional		$1,114.19	$1,395.26	$2,306.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.78 / $1,203.36 / $2,143.19	Professional		$901.78	$1,203.36	$2,143.19