Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.92 / $1,776.59 / $9,115.60	Facility		$357.92	$1,776.59	$9,115.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $680.19 / $1,855.24	Professional		$284.02	$680.19	$1,855.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.76 / $451.65 / $599.51	Professional		$299.76	$451.65	$599.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $931.74 / $2,112.71	Professional		$297.68	$931.74	$2,112.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.52 / $1,190.32 / $3,169.08	Professional	50	$446.52	$1,190.32	$3,169.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.93 / $395.19 / $635.13	Facility		$287.93	$395.19	$635.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,361.27 / $1,740.75 / $2,506.67	Professional		$1,361.27	$1,740.75	$2,506.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.86 / $677.61 / $2,524.51	Professional		$344.86	$677.61	$2,524.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,439.00 / $11,284.00	Facility		$3,932.00	$8,439.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.97 / $1,743.70 / $3,024.50	Professional		$1,399.97	$1,743.70	$3,024.50