Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $1,519.10 / $7,212.00	Facility		$162.41	$1,519.10	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $285.30 / $545.25	Professional		$162.41	$285.30	$545.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $180.32 / $221.44	Professional		$150.26	$180.32	$221.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $314.63 / $446.77	Professional		$251.70	$314.63	$446.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $205.62 / $360.65	Facility		$158.16	$205.62	$360.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $287.17 / $391.59	Professional		$261.06	$287.17	$391.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $396.71 / $665.20	Professional		$210.29	$396.71	$665.20
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 $435.14 / $574.79 / $1,026.74	Professional		$435.14	$574.79	$1,026.74