Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.39 / $4,846.00 / $17,756.00	Facility		$596.39	$4,846.00	$17,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $724.30 / $1,239.41	Professional		$526.41	$724.30	$1,239.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.18 / $626.48 / $791.34	Professional		$501.18	$626.48	$791.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,219.00 / $30,900.00	Facility		$4,146.00	$9,219.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.52 / $658.83 / $935.53	Professional		$405.52	$658.83	$935.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.11 / $738.58 / $1,107.86	Facility		$538.11	$738.58	$1,107.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $701.43 / $876.79 / $1,262.58	Professional		$701.43	$876.79	$1,262.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,638.28 / $6,638.28 / $7,869.03	Facility		$6,638.28	$6,638.28	$7,869.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.75 / $865.72 / $1,279.81	Professional		$608.75	$865.72	$1,279.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,330.00 / $17,416.00	Facility		$5,431.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.06 / $869.19 / $1,539.19	Professional		$657.06	$869.19	$1,539.19