Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.11 / $2,109.11 / $3,996.83	Facility		$2,109.11	$2,109.11	$3,996.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.89 / $2,109.11 / $4,293.49	Professional		$1,745.89	$2,109.11	$4,293.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,152.14 / $2,152.14 / $2,152.14	Professional		$2,152.14	$2,152.14	$2,152.14
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 $1,859.55 / $2,324.44 / $3,207.72	Professional		$1,859.55	$2,324.44	$3,207.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,412.29 / $3,192.74 / $3,547.49	Facility		$2,412.29	$3,192.74	$3,547.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,364.98 / $2,837.99 / $3,547.49	Professional		$2,364.98	$2,837.99	$3,547.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.14 / $2,650.44 / $4,741.71	Professional		$1,773.14	$2,650.44	$4,741.71
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 $1,966.59 / $2,542.83 / $3,811.60	Professional		$1,966.59	$2,542.83	$3,811.60