Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.77 / $6,847.30 / $12,741.57	Facility		$468.77	$6,847.30	$12,741.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $560.75 / $1,118.64	Professional		$368.76	$560.75	$1,118.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $398.41 / $582.03	Professional		$286.67	$398.41	$582.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,908.60 / $6,474.00 / $13,758.00	Facility		$2,908.60	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $354.10 / $514.52	Professional		$287.70	$354.10	$514.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.22 / $477.78 / $573.33	Facility		$382.22	$477.78	$573.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $645.48 / $775.09	Professional		$537.90	$645.48	$775.09
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 $380.26 / $559.71 / $907.75	Professional		$380.26	$559.71	$907.75
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 $492.52 / $645.48 / $1,147.23	Professional		$492.52	$645.48	$1,147.23