Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,743.10 / $6,857.76 / $6,857.76	Facility		$2,743.10	$6,857.76	$6,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $2,845.96	Professional		$2,743.10	$2,743.10	$2,845.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,750.40 / $1,750.40 / $1,750.40	Professional		$1,750.40	$1,750.40	$1,750.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $4,389.24 / $6,572.02	Facility		$2,194.62	$4,389.24	$6,572.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $255.75 / $3,849.48	Professional		$165.00	$255.75	$3,849.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,649.50 / $3,859.22 / $4,452.95	Facility		$2,649.50	$3,859.22	$4,452.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,968.63 / $3,562.36 / $4,007.65	Professional		$2,968.63	$3,562.36	$4,007.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,428.88	Professional		$2,914.55	$2,914.55	$3,428.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $4,857.58	Professional		$2,857.40	$2,857.40	$4,857.58