Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.68 / $2,453.00 / $16,042.00	Facility		$1,300.68	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.68 / $1,384.30 / $1,567.35	Professional		$1,300.68	$1,384.30	$1,567.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,253.88 / $1,253.88 / $1,253.88	Professional		$1,253.88	$1,253.88	$1,253.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $10,284.00 / $16,778.00	Facility		$3,536.00	$10,284.00	$16,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.16 / $1,297.70 / $1,748.26	Professional		$1,038.16	$1,297.70	$1,748.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.88 / $1,678.64 / $2,539.11	Facility		$1,253.88	$1,678.64	$2,539.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,253.88 / $1,567.35 / $2,256.98	Professional		$1,253.88	$1,567.35	$2,256.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $908.00 / $2,126.90	Facility		$630.00	$908.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,478.31 / $2,471.16	Professional		$1,063.09	$1,478.31	$2,471.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.16 / $1,493.40 / $2,467.90	Professional		$1,137.16	$1,493.40	$2,467.90