Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Facility		$1,621.81	$1,621.81	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,019.95	Professional		$1,445.44	$1,819.70	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,090.30	Professional		$1,659.59	$2,570.40	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $3,715.35	Facility		$3,162.28	$3,548.13	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,089.30	Professional		$1,621.81	$1,995.26	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,025.60	Facility		$2,570.40	$4,677.35	$6,025.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,495.41	Professional		$3,467.37	$4,265.80	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $5,888.44	Facility		$2,398.83	$5,888.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $17,782.79	Professional		$1,737.80	$2,884.03	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,951.21	Professional		$1,778.28	$2,290.87	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Facility		$2,187.76	$2,187.76	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,511.89	Professional		$1,148.15	$1,698.24	$2,511.89