Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $884.98 / $11,093.00	Facility		$475.00	$884.98	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.84 / $664.80 / $1,074.50	Professional		$464.84	$664.80	$1,074.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.55 / $701.40 / $701.40	Professional		$494.55	$701.40	$701.40
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 $344.61 / $573.61 / $814.52	Professional		$344.61	$573.61	$814.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.95 / $654.64 / $1,030.74	Facility		$476.95	$654.64	$1,030.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.16 / $932.70 / $1,343.09	Professional		$746.16	$932.70	$1,343.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,940.04 / $5,940.04 / $7,041.33	Facility		$5,940.04	$5,940.04	$7,041.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $814.99 / $1,301.51	Professional		$536.62	$814.99	$1,301.51
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 $633.58 / $863.45 / $1,499.80	Professional		$633.58	$863.45	$1,499.80