Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.59 / $2,318.00 / $11,093.00	Facility		$540.59	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $554.16 / $861.39	Professional		$512.96	$554.16	$861.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.69 / $528.69 / $660.86	Professional		$528.69	$528.69	$660.86
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 $395.64 / $674.24 / $954.80	Professional		$395.64	$674.24	$954.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.69 / $687.30 / $793.04	Facility		$528.69	$687.30	$793.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.69 / $610.74 / $793.04	Professional		$528.69	$610.74	$793.04
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 $568.29 / $748.57 / $1,215.99	Professional		$568.29	$748.57	$1,215.99
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 $480.42 / $641.63 / $1,178.71	Professional		$480.42	$641.63	$1,178.71