Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $1,386.00 / $10,543.89	Facility		$364.80	$1,386.00	$10,543.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.38 / $470.80 / $729.60	Professional		$339.38	$470.80	$729.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $353.72 / $353.72	Professional		$229.67	$353.72	$353.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $476.45 / $676.55	Professional		$326.77	$476.45	$676.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $495.21 / $742.82	Facility		$360.79	$495.21	$742.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $585.69 / $843.39	Professional		$468.55	$585.69	$843.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $582.52 / $911.14	Professional		$402.71	$582.52	$911.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $5,620.00 / $10,413.00	Facility		$3,364.00	$5,620.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $569.85 / $1,027.71	Professional		$427.86	$569.85	$1,027.71