Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.53 / $2,052.53 / $4,312.87	Facility		$2,052.53	$2,052.53	$4,312.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.53 / $2,105.90 / $2,368.62	Professional		$2,052.53	$2,105.90	$2,368.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,234.65 / $3,234.65 / $3,234.65	Professional		$3,234.65	$3,234.65	$3,234.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,407.17 / $3,860.02 / $4,312.87	Facility		$3,407.17	$3,860.02	$4,312.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.34 / $2,859.80 / $3,946.52	Professional		$2,238.34	$2,859.80	$3,946.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,589.22 / $4,744.16 / $6,469.31	Facility		$3,589.22	$4,744.16	$6,469.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,665.94 / $4,744.16 / $5,822.37	Professional		$3,665.94	$4,744.16	$5,822.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $4,312.87	Facility		$2,481.10	$2,481.10	$4,312.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $4,339.32	Professional		$1,811.20	$2,481.10	$4,339.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.65 / $2,965.23 / $3,121.29	Facility		$2,600.65	$2,965.23	$3,121.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.02 / $2,151.64 / $3,032.69	Professional		$1,312.02	$2,151.64	$3,032.69