Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.63 / $1,386.00 / $5,634.00	Facility		$334.63	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $336.68 / $451.75	Professional		$291.98	$336.68	$451.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $234.24 / $468.48	Professional		$234.24	$234.24	$468.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $344.70 / $475.68	Professional		$255.63	$344.70	$475.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.32 / $468.48 / $702.72	Facility		$341.32	$468.48	$702.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $418.29 / $602.34	Professional		$334.63	$418.29	$602.34
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 $283.01 / $385.33 / $639.79	Professional		$283.01	$385.33	$639.79
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.07 / $352.22 / $621.74	Professional		$271.07	$352.22	$621.74