Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.32 / $824.00 / $5,734.66	Facility		$321.32	$824.00	$5,734.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $433.78 / $632.55	Professional		$308.47	$433.78	$632.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.04 / $388.04 / $388.04	Professional		$388.04	$388.04	$388.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $7,230.00 / $18,942.00	Facility		$1,153.00	$7,230.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $398.21 / $549.52	Professional		$305.64	$398.21	$549.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $434.60 / $651.90	Facility		$316.64	$434.60	$651.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.74 / $533.42 / $768.14	Professional		$426.74	$533.42	$768.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.23 / $510.69 / $768.13	Professional		$355.23	$510.69	$768.13
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 $415.86 / $538.04 / $946.72	Professional		$415.86	$538.04	$946.72