Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.41 / $7,954.00 / $12,504.04	Facility		$406.41	$7,954.00	$12,504.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $1,126.20 / $1,705.52	Professional		$310.70	$1,126.20	$1,705.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $846.03 / $1,364.57	Professional		$148.72	$846.03	$1,364.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.17 / $446.17 / $446.17	Professional	50	$446.17	$446.17	$446.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $9,989.00 / $15,154.00	Facility		$3,536.00	$9,989.00	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.44 / $537.30 / $2,211.63	Professional		$285.44	$537.30	$2,211.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $428.17 / $805.96 / $3,317.45	Professional	50	$428.17	$805.96	$3,317.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.48 / $324.64 / $541.08	Facility		$240.48	$324.64	$541.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $909.71 / $1,091.65 / $1,364.57	Professional		$909.71	$1,091.65	$1,364.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.11 / $2,129.11 / $2,129.11	Facility		$2,129.11	$2,129.11	$2,129.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $1,270.01 / $3,469.45	Professional		$365.15	$1,270.01	$3,469.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $8,348.00 / $11,284.00	Facility		$3,200.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.89 / $1,953.64 / $3,094.75	Professional		$1,276.89	$1,953.64	$3,094.75