Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,820.00 / $4,155.35 / $4,321.57	Facility		$2,820.00	$4,155.35	$4,321.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,710.03 / $4,215.64 / $4,628.93	Professional		$3,710.03	$4,215.64	$4,628.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7,421.72 / $7,421.72 / $7,421.72	Professional		$7,421.72	$7,421.72	$7,421.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,435.32 / $8,731.44 / $9,176.74	Facility		$5,435.32	$8,731.44	$9,176.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,083.88 / $4,659.49 / $5,217.74	Professional		$4,083.88	$4,659.49	$5,217.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,548.58 / $12,158.17 / $13,985.71	Facility		$6,548.58	$12,158.17	$13,985.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,294.87 / $10,855.51 / $14,406.88	Professional		$8,294.87	$10,855.51	$14,406.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $10,232.16	Facility		$6,042.00	$6,042.00	$10,232.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $41,719.61	Professional		$4,410.66	$6,042.00	$41,719.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,563.08 / $5,564.74 / $6,955.92	Professional		$4,563.08	$5,564.74	$6,955.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,904.02 / $4,356.02 / $5,964.13	Professional		$2,904.02	$4,356.02	$5,964.13