Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $834.00 / $11,093.00	Facility		$295.38	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.05 / $417.08 / $619.99	Professional		$279.05	$417.08	$619.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $464.99	Professional		$464.99	$464.99	$464.99
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 $214.85 / $356.65 / $506.44	Professional		$214.85	$356.65	$506.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.43 / $406.87 / $610.30	Facility		$296.43	$406.87	$610.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.67 / $543.34 / $782.40	Professional		$434.67	$543.34	$782.40
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 $337.07 / $520.71 / $784.38	Professional		$337.07	$520.71	$784.38
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 $400.94 / $511.46 / $929.81	Professional		$400.94	$511.46	$929.81