Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.24 / $1,286.51 / $7,954.00	Facility		$311.24	$1,286.51	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.24 / $1,024.46 / $1,259.34	Professional		$311.24	$1,024.46	$1,259.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $314.86 / $839.57	Professional		$157.43	$314.86	$839.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $472.29 / $472.29 / $472.29	Professional	50	$472.29	$472.29	$472.29
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 $223.51 / $508.90 / $1,769.99	Professional		$223.51	$508.90	$1,769.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $335.27 / $763.35 / $2,654.98	Professional	50	$335.27	$763.35	$2,654.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $370.56 / $1,177.54	Facility		$257.33	$370.56	$1,177.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $881.55 / $1,091.44 / $1,511.22	Professional		$881.55	$1,091.44	$1,511.22
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 $362.85 / $1,219.94 / $3,722.95	Professional		$362.85	$1,219.94	$3,722.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.81 / $6,741.00 / $10,769.00	Facility		$2,637.81	$6,741.00	$10,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.63 / $1,567.16 / $2,588.78	Professional		$1,015.63	$1,567.16	$2,588.78