Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $1,632.48 / $7,212.00	Facility		$172.47	$1,632.48	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $268.64 / $1,736.07	Professional		$142.43	$268.64	$1,736.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,063.93 / $1,063.93 / $1,063.93	Professional		$1,063.93	$1,063.93	$1,063.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $1,518.34 / $2,092.60	Professional		$148.22	$1,518.34	$2,092.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $222.33 / $2,277.51 / $3,138.90	Professional	50	$222.33	$2,277.51	$3,138.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $258.18 / $307.83	Facility		$160.19	$258.18	$307.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,604.48 / $2,059.21 / $2,059.21	Professional		$1,604.48	$2,059.21	$2,059.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $1,329.51 / $2,508.77	Professional		$169.73	$1,329.51	$2,508.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $6,474.00	Facility		$2,400.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,558.75 / $1,966.06 / $3,125.46	Professional		$1,558.75	$1,966.06	$3,125.46