Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.57 / $3,169.42 / $11,093.00	Facility		$490.57	$3,169.42	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $2,537.92 / $3,642.43	Professional		$438.87	$2,537.92	$3,642.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $568.59 / $568.59	Professional		$568.59	$568.59	$568.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $31,608.00 / $48,629.00	Facility		$2,575.00	$31,608.00	$48,629.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $1,728.79 / $3,299.66	Professional		$357.00	$1,728.79	$3,299.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.75 / $579.96 / $3,281.93	Facility		$402.75	$579.96	$3,281.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,420.31 / $2,996.58 / $4,149.10	Professional		$2,420.31	$2,996.58	$4,149.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,413.98 / $9,413.98 / $9,413.98	Facility		$9,413.98	$9,413.98	$9,413.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.26 / $1,891.88 / $5,474.41	Professional		$486.26	$1,891.88	$5,474.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,460.00 / $23,366.00	Facility		$6,526.00	$14,460.00	$23,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,786.42 / $3,711.36 / $6,014.33	Professional		$2,786.42	$3,711.36	$6,014.33