Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $5,634.00 / $15,203.64	Facility		$98.46	$5,634.00	$15,203.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $192.70 / $5,440.60	Professional		$81.45	$192.70	$5,440.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $113.79 / $113.79	Professional		$113.79	$113.79	$113.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,591.00 / $24,214.00 / $45,778.00	Facility		$2,591.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $4,109.99 / $6,527.64	Professional		$70.38	$4,109.99	$6,527.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $98.62 / $5,066.20	Facility		$77.38	$98.62	$5,066.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,681.77 / $4,023.65 / $5,319.51	Professional		$3,681.77	$4,023.65	$5,319.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.57 / $9,418.57 / $9,418.57	Facility		$9,418.57	$9,418.57	$9,418.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $384.90 / $7,772.28	Professional		$93.40	$384.90	$7,772.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,594.80 / $6,088.15 / $9,673.26	Professional		$4,594.80	$6,088.15	$9,673.26