Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.74 / $1,973.76 / $19,071.00	Facility		$482.74	$1,973.76	$19,071.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.12 / $829.23 / $2,526.71	Professional		$418.12	$829.23	$2,526.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $174.89 / $174.89	Professional		$174.89	$174.89	$174.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.10 / $1,080.24 / $4,151.81	Professional		$459.10	$1,080.24	$4,151.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.61 / $575.45 / $2,046.69	Facility		$399.61	$575.45	$2,046.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,526.31 / $1,889.72 / $2,616.54	Professional		$1,526.31	$1,889.72	$2,616.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,005.62 / $16,005.62 / $16,005.62	Facility		$16,005.62	$16,005.62	$16,005.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $1,583.14 / $4,419.68	Professional		$519.11	$1,583.14	$4,419.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,051.00 / $11,452.00 / $17,416.00	Facility		$5,051.00	$11,452.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.89 / $2,800.87 / $4,049.61	Professional		$1,837.89	$2,800.87	$4,049.61