Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $14,672.94 / $28,976.55	Facility		$1,386.00	$14,672.94	$28,976.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.04 / $1,479.81 / $4,134.10	Professional		$1,271.04	$1,479.81	$4,134.10
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $176.66 / $302.13 / $496.09	Professional	AS	$176.66	$302.13	$496.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $1,515.49 / $1,948.46	Professional		$209.78	$1,515.49	$1,948.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,008.00 / $17,468.00 / $33,821.32	Facility		$4,008.00	$17,468.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.53 / $1,673.90 / $2,309.98	Professional		$1,258.53	$1,673.90	$2,309.98
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $176.19 / $234.34 / $323.39	Professional	AS	$176.19	$234.34	$323.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,298.97 / $1,688.66 / $2,544.77	Facility		$1,298.97	$1,688.66	$2,544.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,298.97 / $1,558.76 / $1,948.46	Professional		$1,298.97	$1,558.76	$1,948.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,459.24 / $19,459.24 / $23,067.02	Facility		$19,459.24	$19,459.24	$23,067.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.24 / $1,815.03 / $3,084.97	Professional		$1,410.24	$1,815.03	$3,084.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,882.00 / $23,366.00	Facility		$6,526.00	$14,882.00	$23,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.86 / $1,608.84 / $2,889.75	Professional		$1,186.86	$1,608.84	$2,889.75