Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.05 / $3,000.00 / $11,093.00	Facility		$680.05	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.05 / $829.24 / $1,117.66	Professional		$680.05	$829.24	$1,117.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,363.01 / $1,363.01 / $1,363.01	Professional		$1,363.01	$1,363.01	$1,363.01
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 $671.85 / $901.20 / $1,289.97	Professional		$671.85	$901.20	$1,289.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.92 / $969.97 / $1,235.70	Facility		$665.92	$969.97	$1,235.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.67 / $1,090.40 / $1,297.48	Professional		$908.67	$1,090.40	$1,297.48
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 $799.80 / $1,028.33 / $1,671.11	Professional		$799.80	$1,028.33	$1,671.11
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 $767.63 / $1,011.46 / $1,609.27	Professional		$767.63	$1,011.46	$1,609.27