Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.23 / $3,396.00 / $14,063.00	Facility		$718.23	$3,396.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.08 / $718.23 / $1,242.54	Professional		$651.08	$718.23	$1,242.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,123.57 / $1,123.57 / $1,123.57	Professional		$1,123.57	$1,123.57	$1,123.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,219.00 / $30,900.00	Facility		$4,146.00	$9,219.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $992.90 / $1,370.20	Professional		$660.10	$992.90	$1,370.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.27 / $983.12 / $1,474.68	Facility		$716.27	$983.12	$1,474.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.23 / $877.79 / $1,264.02	Professional		$702.23	$877.79	$1,264.02
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 $767.48 / $986.91 / $1,615.12	Professional		$767.48	$986.91	$1,615.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,973.00 / $9,549.00 / $15,660.00	Facility		$4,973.00	$9,549.00	$15,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.03 / $836.51 / $1,469.31	Professional		$621.03	$836.51	$1,469.31