Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $16,218.10	Facility		$1,380.38	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,089.30	Professional		$1,071.52	$1,380.38	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,122.02	Professional		$1,023.29	$1,071.52	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $18,197.01 / $26,302.68	Facility		$4,570.88	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,089.30	Professional		$1,096.48	$1,348.96	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,905.46 / $2,818.38	Facility		$446.68	$1,905.46	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,905.46	Professional		$933.25	$1,318.26	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,549.93 / $16,218.10	Facility		$3,388.44	$9,549.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,187.76	Professional		$1,000.00	$1,288.25	$2,187.76