Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.93 / $1,941.00 / $7,212.00	Facility		$666.93	$1,941.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.78 / $670.40 / $902.29	Professional		$598.78	$670.40	$902.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $854.12 / $854.12 / $854.12	Professional		$854.12	$854.12	$854.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.00 / $6,340.00 / $30,900.00	Facility		$2,796.00	$6,340.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.03 / $836.02 / $1,153.70	Professional		$480.03	$836.02	$1,153.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.40 / $912.34 / $1,368.51	Facility		$692.40	$912.34	$1,368.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $814.59 / $1,173.00	Professional		$651.66	$814.59	$1,173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,977.79 / $5,977.79 / $7,086.08	Facility		$5,977.79	$5,977.79	$7,086.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.45 / $933.63 / $1,453.99	Professional		$721.45	$933.63	$1,453.99
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 $575.88 / $765.49 / $1,419.92	Professional		$575.88	$765.49	$1,419.92