Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.84 / $2,318.00 / $11,093.00	Facility		$565.84	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.40 / $567.20 / $925.50	Professional		$532.40	$567.20	$925.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $579.13 / $579.13 / $579.13	Professional		$579.13	$579.13	$579.13
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 $508.24 / $840.00 / $1,159.20	Professional		$508.24	$840.00	$1,159.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.47 / $719.51 / $830.21	Facility		$553.47	$719.51	$830.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.47 / $664.16 / $830.21	Professional		$553.47	$664.16	$830.21
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 $579.13 / $777.99 / $1,246.79	Professional		$579.13	$777.99	$1,246.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.21 / $655.91 / $1,163.72	Professional		$488.21	$655.91	$1,163.72