Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.35 / $1,276.61 / $11,093.00	Facility		$355.35	$1,276.61	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $475.27 / $842.75	Professional		$329.11	$475.27	$842.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.35 / $388.38 / $459.81	Professional		$384.35	$388.38	$459.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $365.78 / $519.40	Professional		$250.38	$365.78	$519.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.70 / $459.81 / $660.65	Facility		$353.70	$459.81	$660.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.42 / $537.49 / $729.63	Professional		$486.42	$537.49	$729.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.94 / $497.32 / $834.93	Professional		$355.94	$497.32	$834.93
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 $410.88 / $546.11 / $987.72	Professional		$410.88	$546.11	$987.72