Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.46 / $2,318.00 / $11,093.00	Facility		$438.46	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.96 / $587.38 / $833.07	Professional		$410.96	$587.38	$833.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $322.19 / $343.66	Professional		$214.79	$322.19	$343.66
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 $406.82 / $521.46 / $740.47	Professional		$406.82	$521.46	$740.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.17 / $601.41 / $902.12	Facility		$438.17	$601.41	$902.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $741.64 / $1,067.96	Professional		$593.30	$741.64	$1,067.96
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 $503.07 / $689.89 / $1,067.96	Professional		$503.07	$689.89	$1,067.96
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 $538.22 / $695.98 / $1,219.08	Professional		$538.22	$695.98	$1,219.08