Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.76 / $4,118.00 / $7,235.42	Facility		$274.76	$4,118.00	$7,235.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.49 / $360.16 / $964.30	Professional		$150.49	$360.16	$964.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $573.00 / $573.00	Professional		$573.00	$573.00	$573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.00 / $4,118.00 / $8,240.00	Facility		$1,554.00	$4,118.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $541.04 / $1,668.63	Professional		$206.11	$541.04	$1,668.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.84 / $248.75 / $930.14	Facility		$178.84	$248.75	$930.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.98 / $859.21 / $1,189.68	Professional		$693.98	$859.21	$1,189.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,118.00 / $4,118.00 / $4,118.00	Facility		$4,118.00	$4,118.00	$4,118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $840.50 / $1,632.44	Professional		$217.50	$840.50	$1,632.44
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 $866.33 / $1,086.55 / $1,801.97	Professional		$866.33	$1,086.55	$1,801.97