Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.78 / $1,636.61 / $1,702.07	Facility		$1,194.78	$1,636.61	$1,702.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.21 / $1,762.25 / $1,973.72	Professional		$1,461.21	$1,762.25	$1,973.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,579.19 / $2,777.20 / $2,923.08	Professional		$2,579.19	$2,777.20	$2,923.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.73 / $3,438.92 / $3,614.30	Facility		$2,140.73	$3,438.92	$3,614.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.45 / $1,974.14 / $2,055.03	Professional		$1,608.45	$1,974.14	$2,055.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,579.19 / $4,848.88 / $5,924.69	Facility		$2,579.19	$4,848.88	$5,924.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,266.97 / $4,298.64 / $5,674.22	Professional		$3,266.97	$4,298.64	$5,674.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,196.47	Facility		$2,400.00	$2,400.00	$4,196.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $17,588.66	Professional		$1,752.00	$2,400.00	$17,588.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,797.19 / $2,191.69 / $2,739.62	Professional		$1,797.19	$2,191.69	$2,739.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.76 / $1,715.64 / $2,526.89	Professional		$1,143.76	$1,715.64	$2,526.89