Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $2,354.21 / $11,093.00	Facility		$252.25	$2,354.21	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $433.28 / $2,687.23	Professional		$217.50	$433.28	$2,687.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $195.01 / $253.51	Professional		$195.01	$195.01	$253.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $1,276.71 / $3,699.03	Professional		$227.72	$1,276.71	$3,699.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.91 / $253.51 / $2,416.00	Facility		$198.91	$253.51	$2,416.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,736.34 / $1,953.38 / $2,553.44	Professional		$1,736.34	$1,953.38	$2,553.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $986.72 / $4,282.84	Professional		$249.32	$986.72	$4,282.84
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 $2,238.79 / $3,139.61 / $4,932.95	Professional		$2,238.79	$3,139.61	$4,932.95