Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,698.24	Professional		$1,071.52	$1,380.38	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,884.03	Facility		$1,479.11	$1,479.11	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,884.03	Professional		$1,479.11	$1,479.11	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $3,890.45	Facility		$302.00	$309.03	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,513.56 / $2,344.23	Professional		$162.18	$1,513.56	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $977.24 / $1,737.80	Facility		$117.49	$977.24	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,041.74	Professional		$741.31	$1,148.15	$2,041.74