Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $1,830.00 / $11,093.00	Facility		$105.61	$1,830.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $513.65 / $793.48	Professional		$105.61	$513.65	$793.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $155.16	Professional		$155.16	$155.16	$155.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $2,956.00 / $5,608.00	Facility		$1,399.00	$2,956.00	$5,608.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $410.70 / $1,007.17	Professional		$107.44	$410.70	$1,007.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $173.91 / $771.39	Facility		$120.78	$173.91	$771.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.98 / $711.88 / $985.68	Professional		$574.98	$711.88	$985.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $1,830.00 / $1,830.00	Facility		$1,830.00	$1,830.00	$1,830.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $662.32 / $1,300.52	Professional		$147.41	$662.32	$1,300.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.21 / $921.53 / $1,518.84	Professional		$730.21	$921.53	$1,518.84