Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $3,500.00 / $10,807.68	Facility		$553.29	$3,500.00	$10,807.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.12 / $606.97 / $1,462.47	Professional		$510.12	$606.97	$1,462.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $513.11 / $810.18	Professional		$69.78	$513.11	$810.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $6,474.00 / $13,758.00	Facility		$3,473.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $862.50 / $1,190.25	Professional		$534.25	$862.50	$1,190.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.12 / $702.16 / $1,057.97	Facility		$540.12	$702.16	$1,057.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.12 / $648.14 / $810.18	Professional		$540.12	$648.14	$810.18
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 $588.71 / $791.21 / $1,314.58	Professional		$588.71	$791.21	$1,314.58
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 $504.25 / $673.08 / $1,245.78	Professional		$504.25	$673.08	$1,245.78