Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.03 / $1,613.05 / $1,677.57	Facility		$1,232.03	$1,613.05	$1,677.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.17 / $1,692.97 / $1,896.12	Professional		$1,440.17	$1,692.97	$1,896.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,542.06 / $2,542.06 / $2,542.06	Professional		$2,542.06	$2,542.06	$2,542.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,109.91 / $3,389.41 / $3,562.27	Facility		$2,109.91	$3,389.41	$3,562.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,585.29 / $2,035.69 / $2,063.67	Professional		$1,585.29	$2,035.69	$2,063.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,542.06 / $4,779.07 / $5,789.27	Facility		$2,542.06	$4,779.07	$5,789.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,219.94 / $4,236.76 / $5,592.53	Professional		$3,219.94	$4,236.76	$5,592.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,362.64	Facility		$2,117.90	$2,117.90	$4,362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $2,117.90 / $18,285.15	Professional		$1,546.07	$2,117.90	$18,285.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,771.31 / $2,160.14 / $2,700.17	Professional		$1,771.31	$2,160.14	$2,700.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.29 / $1,690.94 / $2,605.67	Professional		$1,127.29	$1,690.94	$2,605.67