Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.21 / $834.00 / $11,093.00	Facility		$229.21	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $394.06 / $580.86	Professional		$214.15	$394.06	$580.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.53 / $337.82 / $337.82	Professional		$235.53	$337.82	$337.82
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 $215.42 / $379.76 / $581.79	Professional		$215.42	$379.76	$581.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.21 / $292.77 / $568.01	Facility		$225.21	$292.77	$568.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.68 / $500.02 / $625.02	Professional		$416.68	$500.02	$625.02
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 $254.20 / $439.11 / $721.83	Professional		$254.20	$439.11	$721.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,253.00 / $6,032.00 / $10,413.00	Facility		$3,253.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $514.29 / $880.80	Professional		$382.36	$514.29	$880.80