Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.45 / $1,030.00 / $14,063.00	Facility		$346.45	$1,030.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $453.74 / $589.29	Professional		$329.62	$453.74	$589.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $506.31 / $506.31 / $506.31	Professional		$506.31	$506.31	$506.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $6,653.00 / $11,752.00	Facility		$2,754.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.66 / $427.68 / $607.29	Professional		$253.66	$427.68	$607.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.49 / $474.21 / $711.32	Facility		$345.49	$474.21	$711.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $589.29 / $848.58	Professional		$471.43	$589.29	$848.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,125.20	Facility		$949.22	$949.22	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $552.85 / $854.41	Professional		$390.70	$552.85	$854.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.94 / $552.59 / $1,028.86	Professional		$437.94	$552.59	$1,028.86