Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.47 / $4,003.89 / $11,093.00	Facility		$537.47	$4,003.89	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.47 / $669.91 / $903.24	Professional		$537.47	$669.91	$903.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $665.75 / $665.75 / $665.75	Professional		$665.75	$665.75	$665.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.55 / $684.25 / $1,019.17	Professional		$543.55	$684.25	$1,019.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.51 / $766.91 / $996.12	Facility		$526.51	$766.91	$996.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.59 / $877.91 / $1,045.93	Professional		$731.59	$877.91	$1,045.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.82 / $787.62 / $1,224.81	Professional		$598.82	$787.62	$1,224.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.49 / $831.46 / $1,390.55	Professional		$618.49	$831.46	$1,390.55