Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.45 / $1,386.00 / $11,093.00	Facility		$414.45	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.17 / $422.57 / $1,049.79	Professional		$371.17	$422.57	$1,049.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $306.08 / $612.15	Professional		$306.08	$306.08	$612.15
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 $367.47 / $599.90 / $827.86	Professional		$367.47	$599.90	$827.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $530.53 / $612.15	Facility		$408.10	$530.53	$612.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $489.72 / $612.15	Professional		$408.10	$489.72	$612.15
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 $423.78 / $573.21 / $904.51	Professional		$423.78	$573.21	$904.51
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 $354.35 / $472.09 / $822.62	Professional		$354.35	$472.09	$822.62