Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.24 / $1,539.24 / $3,234.32	Facility		$1,539.24	$1,539.24	$3,234.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.46 / $1,570.02 / $1,634.07	Professional		$1,532.46	$1,570.02	$1,634.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,264.02 / $2,264.02 / $2,425.73	Professional		$2,264.02	$2,264.02	$2,425.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.11 / $2,894.72 / $3,234.32	Facility		$2,555.11	$2,894.72	$3,234.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.81 / $1,972.92 / $2,722.62	Professional		$1,577.81	$1,972.92	$2,722.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,476.14 / $3,557.75 / $4,851.47	Facility		$2,476.14	$3,557.75	$4,851.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,749.17 / $3,557.75 / $4,366.33	Professional		$2,749.17	$3,557.75	$4,366.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,234.32	Facility		$1,721.98	$1,721.98	$3,234.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $3,317.79	Professional		$1,257.05	$1,721.98	$3,317.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.26 / $4,409.26 / $4,409.26	Facility		$4,409.26	$4,409.26	$4,409.26
United Facility/Professional Professional Modifier Low / Median / High Price $916.56 / $1,613.57 / $2,161.09	Professional		$916.56	$1,613.57	$2,161.09