Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.07 / $2,023.27 / $8,229.00	Facility		$1,804.07	$2,023.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.92 / $1,974.38 / $2,437.92	Professional		$1,764.92	$1,974.38	$2,437.92
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 $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.63 / $1,504.56 / $2,563.90	Professional		$1,241.63	$1,504.56	$2,563.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,876.13 / $2,575.08 / $2,970.54	Facility		$1,876.13	$2,575.08	$2,970.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,023.27 / $2,575.08 / $3,678.68	Professional		$2,023.27	$2,575.08	$3,678.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,256.13 / $2,256.13 / $2,256.13	Facility		$2,256.13	$2,256.13	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.64 / $2,292.04 / $3,647.38	Professional		$1,687.64	$2,292.04	$3,647.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,023.27	Professional		$32.34	$32.34	$2,023.27
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,721.78 / $2,281.87 / $3,817.26	Professional		$1,721.78	$2,281.87	$3,817.26