Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.16 / $3,000.00 / $9,364.99	Facility		$641.16	$3,000.00	$9,364.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.24 / $641.16 / $976.21	Professional		$553.24	$641.16	$976.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $858.98 / $892.51	Professional		$700.55	$858.98	$892.51
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 $563.34 / $704.18 / $1,056.27	Professional		$563.34	$704.18	$1,056.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.50 / $729.00 / $850.50	Facility		$607.50	$729.00	$850.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $770.61 / $945.74	Professional		$700.55	$770.61	$945.74
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 $615.36 / $791.51 / $1,223.24	Professional		$615.36	$791.51	$1,223.24
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 $592.77 / $752.82 / $1,204.67	Professional		$592.77	$752.82	$1,204.67