Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,186.23 / $2,186.23 / $4,593.82	Facility		$2,186.23	$2,186.23	$4,593.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.07 / $2,229.96 / $2,273.67	Professional		$2,044.07	$2,229.96	$2,273.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,215.67 / $3,215.67 / $3,445.37	Professional		$3,215.67	$3,215.67	$3,445.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,629.12 / $4,111.47 / $4,593.82	Facility		$3,629.12	$4,111.47	$4,593.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.00 / $2,469.21 / $3,407.50	Professional		$2,241.00	$2,469.21	$3,407.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,445.37 / $5,053.20 / $6,431.35	Facility		$3,445.37	$5,053.20	$6,431.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,904.75 / $5,053.20 / $6,201.66	Professional		$3,904.75	$5,053.20	$6,201.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $4,593.82	Facility		$2,550.04	$2,550.04	$4,593.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $4,712.37	Professional		$1,861.53	$2,550.04	$4,712.37
United Facility/Professional Facility Modifier Low / Median / High Price $6,529.56 / $6,529.56 / $6,529.56	Facility		$6,529.56	$6,529.56	$6,529.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.30 / $2,291.81 / $3,137.34	Professional		$1,357.30	$2,291.81	$3,137.34