Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.44 / $1,030.00 / $14,063.00	Facility		$343.44	$1,030.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.70 / $460.99 / $648.26	Professional		$331.70	$460.99	$648.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $213.25 / $213.25	Professional		$213.25	$213.25	$213.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $6,653.00 / $11,752.00	Facility		$2,754.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.24 / $464.68 / $659.84	Professional		$274.24	$464.68	$659.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.55 / $438.82 / $638.97	Facility		$337.55	$438.82	$638.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $466.98 / $560.38 / $700.47	Professional		$466.98	$560.38	$700.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.17 / $587.76 / $894.35	Professional		$389.17	$587.76	$894.35
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 $432.78 / $557.21 / $1,026.53	Professional		$432.78	$557.21	$1,026.53