Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.40 / $3,500.00 / $11,745.01	Facility		$364.40	$3,500.00	$11,745.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $460.91 / $670.65	Professional		$317.97	$460.91	$670.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $213.38 / $506.64	Professional		$211.10	$213.38	$506.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $7,833.00 / $14,645.00	Facility		$2,807.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $405.50 / $575.80	Professional		$246.24	$405.50	$575.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.52 / $472.86 / $709.29	Facility		$344.52	$472.86	$709.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $570.29 / $855.45	Professional		$475.25	$570.29	$855.45
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 $391.79 / $556.05 / $855.45	Professional		$391.79	$556.05	$855.45
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 $431.46 / $553.74 / $1,060.04	Professional		$431.46	$553.74	$1,060.04