Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.53 / $3,328.08 / $7,212.00	Facility		$703.53	$3,328.08	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.53 / $833.49 / $1,189.53	Professional		$703.53	$833.49	$1,189.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $829.40 / $829.40 / $1,367.13	Professional		$829.40	$829.40	$1,367.13
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 $670.91 / $789.58 / $1,183.10	Professional		$670.91	$789.58	$1,183.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.68 / $1,004.58 / $1,240.06	Facility		$689.68	$1,004.58	$1,240.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.42 / $1,093.70 / $1,302.06	Professional		$911.42	$1,093.70	$1,302.06
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 $749.86 / $988.32 / $1,592.23	Professional		$749.86	$988.32	$1,592.23
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 $771.41 / $980.33 / $1,618.10	Professional		$771.41	$980.33	$1,618.10