Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.18 / $1,192.18 / $2,505.05	Facility		$1,192.18	$1,192.18	$2,505.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.07 / $1,192.18 / $1,239.85	Professional		$1,026.07	$1,192.18	$1,239.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,753.54 / $1,753.54 / $1,753.54	Professional		$1,753.54	$1,753.54	$1,753.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,978.99 / $2,242.02 / $2,505.05	Facility		$1,978.99	$2,242.02	$2,505.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.10 / $1,282.47 / $1,769.80	Professional		$1,245.10	$1,282.47	$1,769.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.14 / $2,630.30 / $3,507.07	Facility		$1,762.14	$2,630.30	$3,507.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,129.29 / $2,755.56 / $3,381.82	Professional		$2,129.29	$2,755.56	$3,381.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,505.05	Facility		$1,295.39	$1,295.39	$2,505.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $2,428.78	Professional		$945.63	$1,295.39	$2,428.78
United Facility/Professional Professional Modifier Low / Median / High Price $689.50 / $1,249.74 / $1,673.79	Professional		$689.50	$1,249.74	$1,673.79