Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.44 / $4,846.00 / $16,042.00	Facility		$1,065.44	$4,846.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.44 / $1,221.06 / $1,942.76	Professional		$1,065.44	$1,221.06	$1,942.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,030.69 / $1,030.69	Professional		$1,030.69	$1,030.69	$1,030.69
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 $1,247.47 / $1,590.35 / $2,100.73	Professional		$1,247.47	$1,590.35	$2,100.73
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 Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.36 / $1,437.19 / $2,316.61	Professional		$973.36	$1,437.19	$2,316.61
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 $1,053.93 / $1,363.86 / $2,380.79	Professional		$1,053.93	$1,363.86	$2,380.79