Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.27 / $7,687.55 / $14,063.00	Facility		$838.27	$7,687.55	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $838.27 / $1,108.98	Professional		$530.01	$838.27	$1,108.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $908.32 / $908.32 / $908.32	Professional		$908.32	$908.32	$908.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $8,512.00 / $16,307.00	Facility		$3,719.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $863.00 / $1,190.94	Professional		$611.49	$863.00	$1,190.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.15 / $846.47 / $976.70	Facility		$664.15	$846.47	$976.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $683.69 / $781.36 / $976.70	Professional		$683.69	$781.36	$976.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,033.31 / $4,033.31 / $4,033.31	Facility		$4,033.31	$4,033.31	$4,033.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.57 / $904.22 / $1,776.32	Professional		$668.57	$904.22	$1,776.32
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 $602.82 / $879.41 / $1,355.99	Professional		$602.82	$879.41	$1,355.99