Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $16,218.10	Facility		$1,318.26	$2,570.40	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,951.21	Professional		$1,174.90	$1,445.44	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $18,197.01 / $26,302.68	Facility		$4,570.88	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,570.40	Professional		$1,230.27	$1,698.24	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,380.38	Facility		$1,174.90	$1,202.26	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,019.95	Facility		$1,288.25	$1,949.84	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,162.28	Professional		$1,202.26	$1,621.81	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,549.93 / $16,218.10	Facility		$4,466.84	$9,549.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,570.40	Professional		$1,174.90	$1,513.56	$2,570.40