Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.81 / $1,975.81 / $3,729.24	Facility		$1,975.81	$1,975.81	$3,729.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.44 / $2,100.00 / $3,846.52	Professional		$1,679.44	$2,100.00	$3,846.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,008.05 / $2,008.05 / $2,008.05	Professional		$2,008.05	$2,008.05	$2,008.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.00 / $9,200.00 / $18,942.00	Facility		$1,854.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.95 / $2,324.44 / $3,207.72	Professional		$1,875.95	$2,324.44	$3,207.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,250.78 / $2,978.98 / $3,309.98	Facility		$2,250.78	$2,978.98	$3,309.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,206.65 / $2,647.98 / $3,309.98	Professional		$2,206.65	$2,647.98	$3,309.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $2,440.40 / $4,435.68	Professional		$1,600.00	$2,440.40	$4,435.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.24 / $2,382.03 / $3,668.21	Professional		$1,778.24	$2,382.03	$3,668.21