Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $3,388.44	Professional		$1,995.26	$2,137.96	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $5,495.41	Facility		$2,884.03	$4,365.16	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,786.30	Professional		$2,344.23	$2,884.03	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,244.36	Facility		$4,786.30	$6,025.60	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,388.44	Facility		$1,819.70	$2,454.71	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,890.45	Professional		$1,819.70	$1,819.70	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,467.37	Facility		$2,630.27	$3,090.30	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,019.95	Professional		$1,318.26	$2,137.96	$3,019.95