Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.44 / $5,341.41 / $16,042.00	Facility		$438.44	$5,341.41	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.44 / $4,532.62 / $7,280.65	Professional		$438.44	$4,532.62	$7,280.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $636.54 / $636.54 / $656.61	Professional		$636.54	$636.54	$656.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $14,400.00 / $33,821.32	Facility		$2,705.10	$14,400.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $554.17 / $764.76	Professional		$471.05	$554.17	$764.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.36 / $551.66 / $6,827.76	Facility		$424.36	$551.66	$6,827.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,777.39 / $5,732.88 / $7,166.10	Professional		$4,777.39	$5,732.88	$7,166.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.70 / $925.34 / $10,290.81	Professional		$506.70	$925.34	$10,290.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,677.06 / $7,563.45 / $13,394.90	Professional		$5,677.06	$7,563.45	$13,394.90