Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.01 / $4,846.00 / $15,040.00	Facility		$646.01	$4,846.00	$15,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $761.72 / $1,386.00	Professional		$534.28	$761.72	$1,386.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $655.33 / $655.33	Professional		$568.20	$655.33	$655.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $683.13 / $970.04	Professional		$404.52	$683.13	$970.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.89 / $772.59 / $1,260.21	Facility		$562.89	$772.59	$1,260.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.25 / $1,089.90 / $1,634.85	Professional		$908.25	$1,089.90	$1,634.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,160.34 / $13,160.34 / $15,600.29	Facility		$13,160.34	$13,160.34	$15,600.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.09 / $949.27 / $1,557.16	Professional		$642.09	$949.27	$1,557.16
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 $745.05 / $1,016.29 / $1,934.24	Professional		$745.05	$1,016.29	$1,934.24