Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.25 / $1,762.25 / $3,702.93	Facility		$1,762.25	$1,762.25	$3,702.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.07 / $1,797.50 / $1,832.74	Professional		$1,702.07	$1,797.50	$1,832.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,592.05 / $2,592.05 / $2,592.05	Professional		$2,592.05	$2,592.05	$2,592.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.31 / $3,314.12 / $3,702.93	Facility		$2,925.31	$3,314.12	$3,702.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.41 / $2,055.03 / $2,835.94	Professional		$1,806.41	$2,055.03	$2,835.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,777.20 / $4,073.22 / $5,184.10	Facility		$2,777.20	$4,073.22	$5,184.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,147.49 / $4,073.22 / $4,998.96	Professional		$3,147.49	$4,073.22	$4,998.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $3,702.93	Facility		$2,400.00	$2,400.00	$3,702.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $3,798.48	Professional		$1,752.00	$2,400.00	$3,798.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.20 / $1,847.35 / $2,526.89	Professional		$1,093.20	$1,847.35	$2,526.89