Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.19 / $1,408.19 / $2,958.96	Facility		$1,408.19	$1,408.19	$2,958.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.77 / $1,417.21 / $1,464.52	Professional		$1,270.77	$1,417.21	$1,464.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,071.27 / $2,071.27 / $2,219.21	Professional		$2,071.27	$2,071.27	$2,219.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,337.58 / $2,648.27 / $2,958.96	Facility		$2,337.58	$2,648.27	$2,958.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.56 / $1,711.10 / $2,361.31	Professional		$1,372.56	$1,711.10	$2,361.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,219.21 / $3,254.86 / $4,295.07	Facility		$2,219.21	$3,254.86	$4,295.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,515.12 / $3,254.86 / $3,994.60	Professional		$2,515.12	$3,254.86	$3,994.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,958.96	Facility		$1,800.00	$1,800.00	$2,958.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $2,590.96	Professional		$1,314.00	$1,800.00	$2,590.96
United Facility/Professional Professional Modifier Low / Median / High Price $760.04 / $1,476.19 / $2,091.27	Professional		$760.04	$1,476.19	$2,091.27