Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.66 / $3,000.00 / $11,093.00	Facility		$700.66	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.74 / $703.83 / $947.92	Professional		$628.74	$703.83	$947.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $514.42 / $514.42	Professional		$514.42	$514.42	$514.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,529.00 / $7,881.00 / $30,900.00	Facility		$3,529.00	$7,881.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $922.50 / $1,273.05	Professional		$627.29	$922.50	$1,273.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $699.63 / $960.27 / $1,440.41	Facility		$699.63	$960.27	$1,440.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $857.39 / $1,234.64	Professional		$685.91	$857.39	$1,234.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,749.91 / $6,749.91 / $8,001.36	Facility		$6,749.91	$6,749.91	$8,001.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $906.32 / $1,577.59	Professional		$713.22	$906.32	$1,577.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.32 / $799.51 / $1,475.87	Professional		$606.32	$799.51	$1,475.87