Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.98 / $3,399.48 / $11,093.00	Facility		$484.98	$3,399.48	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $503.96 / $1,993.35	Professional		$431.90	$503.96	$1,993.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $565.44 / $565.44	Professional		$540.80	$565.44	$565.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.23 / $800.55 / $1,104.75	Professional		$428.23	$800.55	$1,104.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.16 / $619.01 / $714.24	Facility		$476.16	$619.01	$714.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.16 / $571.39 / $714.24	Professional		$476.16	$571.39	$714.24
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 $495.02 / $658.61 / $1,095.18	Professional		$495.02	$658.61	$1,095.18
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 $413.83 / $552.15 / $988.81	Professional		$413.83	$552.15	$988.81