Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,904.67 / $2,115.65 / $4,846.00	Facility		$1,904.67	$2,115.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.92 / $1,984.75 / $2,684.67	Professional		$1,764.92	$1,984.75	$2,684.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,538.29 / $2,538.29 / $2,538.29	Professional		$2,538.29	$2,538.29	$2,538.29
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 $1,319.92 / $1,649.90 / $2,342.85	Professional		$1,319.92	$1,649.90	$2,342.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,763.04 / $2,291.94 / $2,644.56	Facility		$1,763.04	$2,291.94	$2,644.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,763.04 / $2,115.65 / $2,644.56	Professional		$1,763.04	$2,115.65	$2,644.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,256.13	Facility		$761.00	$761.00	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.43 / $2,200.09 / $3,796.86	Professional		$1,613.43	$2,200.09	$3,796.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,076.00 / $10,926.00	Facility		$1,403.00	$5,076.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.92 / $2,025.20 / $3,433.10	Professional		$1,618.92	$2,025.20	$3,433.10