Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.04 / $1,941.00 / $17,336.43	Facility		$456.04	$1,941.00	$17,336.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.04 / $630.67 / $907.28	Professional		$456.04	$630.67	$907.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $214.52 / $462.19	Professional		$214.52	$214.52	$462.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.05 / $635.92 / $877.58	Professional		$410.05	$635.92	$877.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.86 / $632.28 / $948.42	Facility		$479.86	$632.28	$948.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $633.25 / $791.56 / $1,139.84	Professional		$633.25	$791.56	$1,139.84
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 $522.39 / $763.43 / $1,155.19	Professional		$522.39	$763.43	$1,155.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.65 / $783.85 / $1,455.69	Professional		$608.65	$783.85	$1,455.69