Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.46 / $3,500.00 / $11,093.00	Facility		$529.46	$3,500.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.74 / $529.46 / $766.17	Professional		$494.74	$529.46	$766.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.32 / $630.32 / $630.32	Professional		$630.32	$630.32	$630.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $9,888.00 / $26,304.00	Facility		$1,805.00	$9,888.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $782.43 / $1,085.53	Professional		$644.61	$782.43	$1,085.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.35 / $11,990.19 / $17,985.29	Facility		$799.35	$11,990.19	$17,985.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $646.00 / $5,224.02	Facility		$450.00	$646.00	$5,224.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.61 / $1,063.61 / $3,720.03	Professional		$1,063.61	$1,063.61	$3,720.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $823.49 / $1,299.38	Professional		$576.29	$823.49	$1,299.38