Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.90 / $1,386.00 / $11,093.00	Facility		$437.90	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.04 / $461.44 / $903.16	Professional		$424.04	$461.44	$903.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $639.03 / $639.03 / $639.03	Professional		$639.03	$639.03	$639.03
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 $440.99 / $612.82 / $870.20	Professional		$440.99	$612.82	$870.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.54 / $596.42 / $894.65	Facility		$434.54	$596.42	$894.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.02 / $532.53 / $766.83	Professional		$426.02	$532.53	$766.83
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 $487.80 / $766.84 / $1,034.33	Professional		$487.80	$766.84	$1,034.33
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 $387.39 / $557.29 / $985.42	Professional		$387.39	$557.29	$985.42