Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.79 / $7,954.00 / $19,148.00	Facility		$1,108.79	$7,954.00	$19,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.79 / $1,309.55 / $2,022.27	Professional		$1,108.79	$1,309.55	$2,022.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,067.71 / $1,073.33 / $1,610.00	Professional		$1,067.71	$1,073.33	$1,610.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.83 / $2,164.69 / $2,696.69	Professional		$1,401.83	$2,164.69	$2,696.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.33 / $1,436.93 / $2,173.50	Facility		$1,073.33	$1,436.93	$2,173.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,341.66 / $1,932.00	Professional		$1,073.33	$1,341.66	$1,932.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,318.51 / $2,806.76	Facility		$880.00	$1,318.51	$2,806.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.16 / $131.16 / $131.16	Facility	AS	$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.18 / $1,629.74 / $2,738.88	Professional		$1,224.18	$1,629.74	$2,738.88
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 $1,098.54 / $1,499.12 / $2,480.37	Professional		$1,098.54	$1,499.12	$2,480.37