Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $4,846.00 / $9,400.21	Facility		$834.00	$4,846.00	$9,400.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.29 / $899.90 / $1,419.32	Professional		$718.29	$899.90	$1,419.32
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $473.41 / $1,154.00 / $1,154.00	Professional	AS	$473.41	$1,154.00	$1,154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $888.65 / $888.65 / $976.53	Professional		$888.65	$888.65	$976.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,572.00 / $18,942.00	Facility		$1,614.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.90 / $1,044.88 / $1,567.32	Professional		$835.90	$1,044.88	$1,567.32
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $117.02 / $146.28 / $219.42	Professional	AS	$117.02	$146.28	$219.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $785.66 / $942.79 / $1,099.92	Facility		$785.66	$942.79	$1,099.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.53 / $1,074.18 / $1,318.32	Professional		$976.53	$1,074.18	$1,318.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.62 / $1,160.47 / $1,725.30	Professional		$872.62	$1,160.47	$1,725.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $1,161.47 / $2,129.84	Professional		$836.74	$1,161.47	$2,129.84