Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.85 / $1,773.00 / $5,634.00	Facility		$321.85	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $334.44 / $546.87	Professional		$299.52	$334.44	$546.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.26 / $253.26 / $253.26	Professional		$253.26	$253.26	$253.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,758.00	Facility		$1,682.00	$3,950.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.74 / $530.00 / $731.40	Professional		$273.74	$530.00	$731.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.89 / $443.20 / $664.80	Facility		$322.89	$443.20	$664.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.57 / $379.88 / $569.82	Professional		$316.57	$379.88	$569.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $432.18 / $717.75	Professional		$328.60	$432.18	$717.75
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 $272.06 / $367.13 / $645.33	Professional		$272.06	$367.13	$645.33