Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.58 / $2,318.00 / $14,063.00	Facility		$298.58	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.01 / $308.82 / $695.07	Professional		$264.01	$308.82	$695.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $279.47 / $331.35	Professional		$279.47	$279.47	$331.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $6,653.00 / $11,752.00	Facility		$2,754.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $465.70 / $661.29	Professional		$254.07	$465.70	$661.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.56 / $411.85 / $617.78	Facility		$312.56	$411.85	$617.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.18 / $367.73 / $529.53	Professional		$294.18	$367.73	$529.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.29 / $396.85 / $643.84	Professional		$303.29	$396.85	$643.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.10 / $331.68 / $622.13	Professional		$249.10	$331.68	$622.13