Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.62 / $3,226.55 / $12,473.68	Facility		$433.62	$3,226.55	$12,473.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.62 / $624.03 / $1,220.38	Professional		$433.62	$624.03	$1,220.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $427.07 / $640.61	Professional		$202.86	$427.07	$640.61
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 $374.53 / $488.20 / $693.24	Professional		$374.53	$488.20	$693.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.76 / $597.90 / $896.85	Facility		$453.76	$597.90	$896.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.32 / $775.40 / $1,116.57	Professional		$620.32	$775.40	$1,116.57
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 $497.80 / $738.98 / $1,133.61	Professional		$497.80	$738.98	$1,133.61
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 $594.46 / $770.22 / $1,357.61	Professional		$594.46	$770.22	$1,357.61