Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.69 / $4,813.00 / $17,225.00	Facility		$814.69	$4,813.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.34 / $814.69 / $1,008.66	Professional		$716.34	$814.69	$1,008.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $558.79 / $558.79	Professional		$558.79	$558.79	$558.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.48 / $913.10 / $1,260.07	Professional		$730.48	$913.10	$1,260.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.97 / $968.59 / $1,117.60	Facility		$759.97	$968.59	$1,117.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $894.08 / $1,117.60	Professional		$745.07	$894.08	$1,117.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.47 / $958.20 / $1,697.95	Professional		$767.47	$958.20	$1,697.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.18 / $903.79 / $1,453.92	Professional		$717.18	$903.79	$1,453.92