Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.83 / $2,774.28 / $9,686.78	Facility		$278.83	$2,774.28	$9,686.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $375.17 / $564.15	Professional		$269.86	$375.17	$564.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $162.72 / $383.68	Professional		$130.18	$162.72	$383.68
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 $199.63 / $339.79 / $482.50	Professional		$199.63	$339.79	$482.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.54 / $383.68 / $575.52	Facility		$279.54	$383.68	$575.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.38 / $484.23 / $697.29	Professional		$387.38	$484.23	$697.29
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 $316.27 / $456.89 / $702.15	Professional		$316.27	$456.89	$702.15
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 $355.33 / $451.12 / $816.51	Professional		$355.33	$451.12	$816.51