Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.30 / $4,846.00 / $11,093.00	Facility		$424.30	$4,846.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $424.30 / $773.03	Professional		$386.08	$424.30	$773.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $551.91 / $690.42	Professional		$551.91	$551.91	$690.42
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 $401.97 / $523.29 / $722.15	Professional		$401.97	$523.29	$722.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.91 / $580.97 / $871.46	Facility		$440.91	$580.97	$871.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.98 / $518.73 / $746.97	Professional		$414.98	$518.73	$746.97
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 $404.57 / $547.45 / $794.99	Professional		$404.57	$547.45	$794.99
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 $380.79 / $497.98 / $893.49	Professional		$380.79	$497.98	$893.49