Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.21 / $2,417.42 / $16,042.00	Facility		$557.21	$2,417.42	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.21 / $828.62 / $1,595.93	Professional		$557.21	$828.62	$1,595.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $719.72 / $719.72 / $825.74	Professional		$719.72	$719.72	$825.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $9,134.00 / $17,513.00	Facility		$3,840.00	$9,134.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.49 / $771.44 / $1,064.58	Professional		$460.49	$771.44	$1,064.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $561.50 / $770.69 / $1,248.95	Facility		$561.50	$770.69	$1,248.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $906.88 / $1,088.26 / $1,632.39	Professional		$906.88	$1,088.26	$1,632.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,999.71 / $5,999.71 / $7,112.07	Facility		$5,999.71	$5,999.71	$7,112.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.87 / $985.31 / $1,640.76	Professional		$645.87	$985.31	$1,640.76
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 $810.76 / $1,048.91 / $1,942.89	Professional		$810.76	$1,048.91	$1,942.89