Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,041.74	Facility		$1,949.84	$1,949.84	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,630.78	Professional		$1,778.28	$2,238.72	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $4,466.84	Facility		$3,801.89	$4,168.69	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,511.89	Professional		$1,949.84	$2,454.71	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,623.41 / $7,244.36	Facility		$3,090.30	$5,623.41	$7,244.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $6,606.93	Professional		$4,168.69	$5,128.61	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $7,244.36	Facility		$2,570.40	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $21,877.62	Professional		$1,862.09	$3,801.89	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,548.13	Professional		$2,137.96	$2,754.23	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,235.94	Facility		$2,691.53	$2,691.53	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28