Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.50 / $6,979.00 / $10,291.62	Facility		$328.50	$6,979.00	$10,291.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.19 / $311.16 / $670.50	Professional		$268.19	$311.16	$670.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.74 / $400.74 / $400.74	Professional		$400.74	$400.74	$400.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,529.00 / $6,979.00 / $15,727.00	Facility		$3,529.00	$6,979.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $396.92 / $535.84	Professional		$275.35	$396.92	$535.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $347.31 / $400.74	Facility		$267.16	$347.31	$400.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $320.58 / $400.74	Professional		$267.16	$320.58	$400.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $6,978.52 / $6,979.00	Facility		$3,909.74	$6,978.52	$6,979.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.38 / $378.20 / $598.12	Professional		$287.38	$378.20	$598.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.39 / $326.54 / $608.01	Professional		$253.39	$326.54	$608.01