Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Facility		$1,096.48	$1,096.48	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,862.09	Professional		$977.24	$1,230.27	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,290.87	Facility		$1,949.84	$2,187.76	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,288.25	Professional		$1,000.00	$1,230.27	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $3,715.35	Facility		$1,584.89	$2,884.03	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,388.44	Professional		$2,137.96	$2,630.27	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,801.89 / $3,801.89	Facility		$1,318.26	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $11,481.54	Professional		$977.24	$1,778.28	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,819.70	Professional		$1,122.02	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,380.38	Facility		$1,047.13	$1,148.15	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,584.89	Professional		$707.95	$1,071.52	$1,584.89