Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.37 / $1,960.37 / $4,119.22	Facility		$1,960.37	$1,960.37	$4,119.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.38 / $1,960.37 / $2,038.78	Professional		$1,779.38	$1,960.37	$2,038.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,883.45 / $2,883.45 / $2,883.45	Professional		$2,883.45	$2,883.45	$2,883.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,254.18 / $3,686.70 / $4,119.22	Facility		$3,254.18	$3,686.70	$4,119.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,009.50 / $2,148.37 / $2,964.75	Professional		$2,009.50	$2,148.37	$2,964.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,055.85 / $4,493.89 / $5,766.91	Facility		$3,055.85	$4,493.89	$5,766.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,501.34 / $4,531.14 / $5,560.95	Professional		$3,501.34	$4,531.14	$5,560.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,119.22	Facility		$2,160.07	$2,160.07	$4,119.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,225.53	Professional		$1,576.85	$2,160.07	$4,225.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.74 / $2,055.04 / $2,752.37	Professional		$1,149.74	$2,055.04	$2,752.37