Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.56 / $1,854.00 / $16,042.00	Facility		$941.56	$1,854.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.41 / $972.25 / $1,327.15	Professional		$880.41	$972.25	$1,327.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $651.35 / $651.35 / $651.35	Professional		$651.35	$651.35	$651.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $7,747.00 / $14,389.00	Facility		$2,904.00	$7,747.00	$14,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.76 / $919.70 / $1,269.18	Professional		$735.76	$919.70	$1,269.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $1,129.00 / $1,302.69	Facility		$868.46	$1,129.00	$1,302.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $1,042.15 / $1,302.69	Professional		$868.46	$1,042.15	$1,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $1,084.92 / $1,868.80	Facility		$865.00	$1,084.92	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.10 / $1,150.71 / $1,939.50	Professional		$881.10	$1,150.71	$1,939.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.04 / $1,050.95 / $2,025.09	Professional		$838.04	$1,050.95	$2,025.09