Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $1,123.00 / $11,093.00	Facility		$274.95	$1,123.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.82 / $398.14 / $696.17	Professional		$256.82	$398.14	$696.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $130.05 / $130.05	Professional		$130.05	$130.05	$130.05
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 $196.95 / $324.37 / $460.60	Professional		$196.95	$324.37	$460.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.08 / $383.05 / $574.58	Facility		$279.08	$383.05	$574.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.66 / $522.08 / $751.79	Professional		$417.66	$522.08	$751.79
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 $317.26 / $477.82 / $751.78	Professional		$317.26	$477.82	$751.78
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 $377.01 / $484.23 / $864.40	Professional		$377.01	$484.23	$864.40