Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $4,846.00 / $16,042.00	Facility		$1,239.41	$4,846.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.41 / $1,465.28 / $2,462.15	Professional		$1,239.41	$1,465.28	$2,462.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,198.33 / $1,557.83 / $1,797.50	Professional		$1,198.33	$1,557.83	$1,797.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,288.00 / $26,304.00	Facility		$2,310.00	$10,288.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.56 / $1,557.82 / $2,213.73	Professional		$1,314.56	$1,557.82	$2,213.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.33 / $1,604.27 / $2,426.63	Facility		$1,198.33	$1,604.27	$2,426.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.33 / $1,497.91 / $2,157.00	Professional		$1,198.33	$1,497.91	$2,157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,473.31 / $3,522.42	Facility		$450.00	$1,473.31	$3,522.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $146.63 / $146.63	Facility	AS	$146.63	$146.63	$146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.76 / $1,652.00 / $2,695.22	Professional		$1,227.76	$1,652.00	$2,695.22
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 $1,194.39 / $1,570.89 / $2,736.58	Professional		$1,194.39	$1,570.89	$2,736.58