Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.72 / $1,571.22 / $1,634.07	Facility		$1,001.72	$1,571.22	$1,634.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.32 / $1,571.22 / $1,723.95	Professional		$1,351.32	$1,571.22	$1,723.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,425.73 / $2,806.29 / $2,806.29	Professional		$2,425.73	$2,806.29	$2,806.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,055.19 / $3,301.52 / $3,469.90	Facility		$2,055.19	$3,301.52	$3,469.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,544.19 / $1,655.14 / $1,972.92	Professional		$1,544.19	$1,655.14	$1,972.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,476.14 / $4,409.26 / $5,174.91	Facility		$2,476.14	$4,409.26	$5,174.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,136.44 / $4,042.90 / $5,447.51	Professional		$3,136.44	$4,042.90	$5,447.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,868.97	Facility		$1,721.98	$1,721.98	$3,868.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $15,227.83	Professional		$1,257.05	$1,721.98	$15,227.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,808.90 / $2,205.98 / $2,757.47	Professional		$1,808.90	$2,205.98	$2,757.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.06 / $1,647.10 / $2,176.54	Professional		$1,098.06	$1,647.10	$2,176.54