Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.91 / $1,406.11 / $4,846.00	Facility		$1,270.91	$1,406.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.84 / $1,305.80 / $1,791.38	Professional		$1,203.84	$1,305.80	$1,791.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,599.45 / $1,599.45 / $1,599.45	Professional		$1,599.45	$1,599.45	$1,599.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,980.45 / $14,278.45	Facility		$4,600.00	$8,980.45	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.48 / $1,443.10 / $1,991.47	Professional		$1,154.48	$1,443.10	$1,991.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,171.76 / $1,523.29 / $1,757.64	Facility		$1,171.76	$1,523.29	$1,757.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.76 / $1,344.59 / $1,757.64	Professional		$1,171.76	$1,344.59	$1,757.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,468.20	Facility		$761.00	$761.00	$1,468.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.18 / $1,556.08 / $2,782.87	Professional		$1,219.18	$1,556.08	$2,782.87
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.99 / $1,479.35 / $2,755.80	Professional		$1,119.99	$1,479.35	$2,755.80