Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.75 / $3,500.00 / $16,042.00	Facility		$1,065.75	$3,500.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.75 / $1,168.30 / $1,740.32	Professional		$1,065.75	$1,168.30	$1,740.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,030.69 / $1,339.90	Professional		$1,030.69	$1,030.69	$1,339.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $10,288.00 / $26,304.00	Facility		$2,174.00	$10,288.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,363.33 / $1,836.67	Professional		$1,090.66	$1,363.33	$1,836.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,030.69 / $1,379.84 / $2,087.15	Facility		$1,030.69	$1,379.84	$2,087.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,288.35 / $1,855.25	Professional		$1,030.69	$1,288.35	$1,855.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,266.49 / $2,806.76	Facility		$450.00	$1,266.49	$2,806.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.16 / $1,309.66 / $2,115.61	Professional		$886.16	$1,309.66	$2,115.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.29 / $1,291.80 / $2,244.90	Professional		$1,004.29	$1,291.80	$2,244.90