Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.39 / $834.00 / $11,093.00	Facility		$245.39	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.39 / $374.52 / $624.79	Professional		$245.39	$374.52	$624.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.63 / $297.72 / $297.72	Professional		$235.63	$297.72	$297.72
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 $396.45 / $582.14 / $859.20	Professional		$396.45	$582.14	$859.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $306.32 / $468.15	Facility		$235.63	$306.32	$468.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.01 / $408.01 / $510.02	Professional		$340.01	$408.01	$510.02
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 $311.30 / $673.17 / $1,033.67	Professional		$311.30	$673.17	$1,033.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.41 / $736.92 / $1,310.78	Professional		$574.41	$736.92	$1,310.78