Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,445.44 / $1,949.84	Facility		$489.78	$1,445.44	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,951.21	Professional		$1,122.02	$1,412.54	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,454.40 / $19,498.45	Facility		$6,456.54	$14,454.40	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,949.84	Professional		$1,071.52	$1,258.93	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,513.56	Facility		$1,288.25	$1,318.26	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,630.27	Facility		$1,288.25	$1,737.80	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,630.27	Professional		$1,122.02	$1,445.44	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,623.41 / $12,022.64	Facility		$1,380.38	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,041.74	Professional		$1,148.15	$1,380.38	$2,041.74