Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.08 / $897.27 / $11,093.00	Facility		$402.08	$897.27	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $514.87 / $738.27	Professional		$376.25	$514.87	$738.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $424.55 / $516.52	Professional		$424.55	$424.55	$516.52
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 $290.73 / $453.09 / $643.38	Professional		$290.73	$453.09	$643.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.15 / $556.25 / $834.38	Facility		$422.15	$556.25	$834.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.92 / $663.66 / $955.68	Professional		$530.92	$663.66	$955.68
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 $424.32 / $598.09 / $943.62	Professional		$424.32	$598.09	$943.62
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 $480.77 / $620.47 / $1,120.99	Professional		$480.77	$620.47	$1,120.99