Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.86 / $2,830.83 / $5,004.60	Facility		$632.86	$2,830.83	$5,004.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.01 / $632.86 / $969.00	Professional		$518.01	$632.86	$969.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.22 / $692.54 / $692.54	Professional		$630.22	$692.54	$692.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.29 / $666.62 / $999.93	Professional		$533.29	$666.62	$999.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $683.60 / $797.54	Facility		$569.66	$683.60	$797.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $692.54 / $761.79 / $934.93	Professional		$692.54	$761.79	$934.93
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 $580.73 / $755.19 / $1,206.41	Professional		$580.73	$755.19	$1,206.41
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 $583.57 / $739.19 / $1,185.05	Professional		$583.57	$739.19	$1,185.05