Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.60 / $2,318.00 / $11,093.00	Facility		$670.60	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.86 / $673.82 / $923.67	Professional		$601.86	$673.82	$923.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $983.04 / $983.04 / $983.04	Professional		$983.04	$983.04	$983.04
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 $655.36 / $1,017.70 / $1,404.42	Professional		$655.36	$1,017.70	$1,404.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.47 / $917.50 / $1,376.25	Facility		$668.47	$917.50	$1,376.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.36 / $819.20 / $1,179.65	Professional		$655.36	$819.20	$1,179.65
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 $724.06 / $1,019.78 / $1,634.71	Professional		$724.06	$1,019.78	$1,634.71
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 $576.35 / $785.93 / $1,445.23	Professional		$576.35	$785.93	$1,445.23