Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.30 / $1,510.66 / $4,846.00	Facility		$1,285.30	$1,510.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.88 / $1,285.30 / $1,606.62	Professional		$1,258.88	$1,285.30	$1,606.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,878.50 / $1,878.50 / $1,878.50	Professional		$1,878.50	$1,878.50	$1,878.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,881.00 / $23,381.41 / $33,555.00	Facility		$7,881.00	$23,381.41	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.32 / $1,687.90 / $2,329.30	Professional		$1,350.32	$1,687.90	$2,329.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.56 / $1,878.50 / $2,817.75	Facility		$1,377.56	$1,878.50	$2,817.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,277.38 / $1,565.41 / $2,254.19	Professional		$1,277.38	$1,565.41	$2,254.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.77 / $1,935.21 / $2,923.96	Professional		$1,351.77	$1,935.21	$2,923.96
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 $1,285.54 / $1,612.87 / $2,630.02	Professional		$1,285.54	$1,612.87	$2,630.02