Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.41 / $2,318.00 / $16,042.00	Facility		$598.41	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.76 / $625.58 / $809.60	Professional		$536.76	$625.58	$809.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $439.08 / $439.08	Professional		$439.08	$439.08	$439.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,239.00 / $12,289.00 / $37,919.46	Facility		$3,239.00	$12,289.00	$37,919.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.47 / $796.40 / $1,099.03	Professional		$542.47	$796.40	$1,099.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.03 / $819.62 / $1,229.43	Facility		$622.03	$819.62	$1,229.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.44 / $702.53 / $1,053.80	Professional		$585.44	$702.53	$1,053.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,493.82 / $12,493.82 / $14,810.19	Facility		$12,493.82	$12,493.82	$14,810.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $811.57 / $1,331.84	Professional		$629.00	$811.57	$1,331.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.95 / $696.99 / $1,269.43	Professional		$518.95	$696.99	$1,269.43