Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.16 / $1,067.16 / $2,156.12	Facility		$1,067.16	$1,067.16	$2,156.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.42 / $1,067.16 / $1,158.07	Professional		$941.42	$1,067.16	$1,158.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,509.28 / $1,509.28 / $1,754.40	Professional		$1,509.28	$1,509.28	$1,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.33 / $1,929.73 / $2,156.12	Facility		$1,703.33	$1,929.73	$2,156.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.73 / $1,138.79 / $1,571.53	Professional		$1,033.73	$1,138.79	$1,571.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,617.09 / $2,371.73 / $3,018.57	Facility		$1,617.09	$2,371.73	$3,018.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,832.70 / $2,371.73 / $2,910.76	Professional		$1,832.70	$2,371.73	$2,910.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $2,156.12	Facility		$1,184.20	$1,184.20	$2,156.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $2,211.77	Professional		$864.47	$1,184.20	$2,211.77
United Facility/Professional Professional Modifier Low / Median / High Price $587.08 / $1,017.77 / $1,396.66	Professional		$587.08	$1,017.77	$1,396.66