Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,493.28 / $4,493.28 / $6,642.24	Facility		$4,493.28	$4,493.28	$6,642.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,493.28 / $5,543.84 / $6,642.24	Professional		$4,493.28	$5,543.84	$6,642.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Professional		$2,600.00	$2,600.00	$2,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.22 / $5,396.58 / $8,456.90	Professional		$4,466.22	$5,396.58	$8,456.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $769.69 / $1,488.06 / $13,854.38	Facility		$769.69	$1,488.06	$13,854.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.25 / $1,693.31 / $20,088.84	Professional		$1,026.25	$1,693.31	$20,088.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,978.93 / $6,889.88	Facility		$4,488.00	$4,978.93	$6,889.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.59 / $4,232.09 / $4,978.93	Professional		$565.59	$4,232.09	$4,978.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.31 / $841.52 / $8,415.25	Professional		$501.31	$841.52	$8,415.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,275.46 / $3,413.20 / $4,734.59	Professional		$2,275.46	$3,413.20	$4,734.59