Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.69 / $9,115.01 / $11,093.00	Facility		$318.69	$9,115.01	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $350.40 / $654.90	Professional		$308.89	$350.40	$654.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $230.69 / $230.69	Professional		$230.69	$230.69	$230.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.05 / $421.14 / $594.45	Professional		$330.05	$421.14	$594.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $399.87 / $461.39	Facility		$307.58	$399.87	$461.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $364.16 / $461.39	Professional		$307.58	$364.16	$461.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.02 / $590.42 / $1,030.49	Professional		$359.02	$590.42	$1,030.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $549.65 / $850.98	Professional		$308.91	$549.65	$850.98