Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.08 / $3,500.00 / $11,093.00	Facility		$393.08	$3,500.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $409.15 / $869.00	Professional		$367.62	$409.15	$869.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $201.74 / $201.74	Professional		$201.74	$201.74	$201.74
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 $369.02 / $557.60 / $769.48	Professional		$369.02	$557.60	$769.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.10 / $507.13 / $585.15	Facility		$390.10	$507.13	$585.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.10 / $468.12 / $585.15	Professional		$390.10	$468.12	$585.15
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 $415.08 / $546.54 / $897.23	Professional		$415.08	$546.54	$897.23
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 $348.16 / $465.04 / $866.80	Professional		$348.16	$465.04	$866.80