Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $1,929.01 / $11,093.00	Facility		$200.27	$1,929.01	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,386.00 / $2,214.21	Professional		$166.05	$1,386.00	$2,214.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,410.34 / $1,410.34 / $2,115.51	Professional		$1,410.34	$1,410.34	$2,115.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.70 / $10,338.00 / $26,304.00	Facility		$1,979.70	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $1,912.99 / $2,672.59	Professional		$172.82	$1,912.99	$2,672.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $259.23 / $2,869.48 / $4,008.89	Professional	50	$259.23	$2,869.48	$4,008.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.03 / $239.09 / $2,006.25	Facility		$166.03	$239.09	$2,006.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,480.86 / $1,833.44 / $2,538.62	Professional		$1,480.86	$1,833.44	$2,538.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.24 / $1,869.24 / $1,869.24	Facility		$1,869.24	$1,869.24	$1,869.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $1,453.54 / $3,196.36	Professional		$200.06	$1,453.54	$3,196.36
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,774.00 / $2,454.98 / $3,930.46	Professional		$1,774.00	$2,454.98	$3,930.46