Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.88 / $1,386.00 / $7,212.00	Facility		$262.88	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $319.20 / $382.17	Professional		$262.88	$319.20	$382.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $349.50 / $349.50	Professional		$349.50	$349.50	$349.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $311.35 / $462.06	Professional		$261.83	$311.35	$462.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $377.20 / $474.97	Facility		$258.95	$377.20	$474.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $419.40 / $498.72	Professional		$349.50	$419.40	$498.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $381.74 / $591.63	Professional		$285.06	$381.74	$591.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,253.00 / $6,434.00 / $10,413.00	Facility		$3,253.00	$6,434.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $398.04 / $609.63	Professional		$301.52	$398.04	$609.63