Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.01 / $2,318.00 / $11,093.00	Facility		$389.01	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.42 / $397.49 / $605.95	Professional		$380.42	$397.49	$605.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $191.38 / $191.38	Professional		$191.38	$191.38	$191.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.78 / $537.00 / $741.06	Professional		$394.78	$537.00	$741.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.42 / $535.86 / $803.79	Facility		$390.42	$535.86	$803.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $459.31 / $688.97	Professional		$382.76	$459.31	$688.97
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 $427.17 / $556.28 / $923.21	Professional		$427.17	$556.28	$923.21
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 $384.97 / $510.21 / $895.59	Professional		$384.97	$510.21	$895.59