Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $3,500.00 / $10,813.30	Facility		$168.22	$3,500.00	$10,813.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $339.88 / $514.49	Professional		$168.22	$339.88	$514.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $124.70	Professional		$77.02	$77.02	$124.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $313.33 / $444.92	Professional		$207.26	$313.33	$444.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $210.78 / $471.84	Facility		$162.13	$210.78	$471.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.49 / $408.59 / $510.74	Professional		$340.49	$408.59	$510.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,467.77 / $6,467.77 / $7,666.90	Facility		$6,467.77	$6,467.77	$7,666.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $481.47 / $803.11	Professional		$203.54	$481.47	$803.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $8,348.00 / $12,569.00	Facility		$3,846.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.22 / $459.65 / $829.28	Professional		$333.22	$459.65	$829.28