Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.57 / $1,710.95 / $1,779.38	Facility		$1,256.57	$1,710.95	$1,779.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.58 / $1,891.22 / $2,195.61	Professional		$1,527.58	$1,891.22	$2,195.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,696.34 / $2,696.34 / $3,089.42	Professional		$2,696.34	$2,696.34	$3,089.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,237.96 / $3,595.12 / $3,778.47	Facility		$2,237.96	$3,595.12	$3,778.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.51 / $2,076.23 / $2,148.37	Professional		$1,681.51	$2,076.23	$2,148.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,696.34 / $5,069.12 / $6,590.75	Facility		$2,696.34	$5,069.12	$6,590.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,501.34 / $4,737.10 / $5,931.95	Professional		$3,501.34	$4,737.10	$5,931.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,430.43	Facility		$2,160.07	$2,160.07	$4,430.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $18,569.29	Professional		$1,576.85	$2,160.07	$18,569.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,878.81 / $2,291.23 / $2,864.05	Professional		$1,878.81	$2,291.23	$2,864.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.71 / $1,853.44 / $2,644.12	Professional		$1,195.71	$1,853.44	$2,644.12