Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.80 / $1,830.80 / $1,830.80	Facility		$1,830.80	$1,830.80	$1,830.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,579.08 / $1,830.80 / $2,057.17	Professional		$1,579.08	$1,830.80	$2,057.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.14 / $1,062.14 / $1,062.14	Professional		$1,062.14	$1,062.14	$1,062.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,337.78 / $2,648.49 / $2,959.21	Facility		$2,337.78	$2,648.49	$2,959.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.46 / $1,715.58 / $2,350.82	Professional		$1,372.46	$1,715.58	$2,350.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.03 / $2,124.42 / $3,749.00	Facility		$238.03	$2,124.42	$3,749.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $1,923.49 / $3,551.05	Professional		$238.03	$1,923.49	$3,551.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $3,035.58	Professional		$1,518.77	$1,786.79	$3,035.58
United Facility/Professional Professional Modifier Low / Median / High Price $893.40 / $1,389.65 / $2,065.03	Professional		$893.40	$1,389.65	$2,065.03