Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.74 / $2,500.00 / $11,093.00	Facility		$413.74	$2,500.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $522.51 / $847.34	Professional		$372.32	$522.51	$847.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $483.49 / $483.49 / $775.64	Professional		$483.49	$483.49	$775.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,958.00 / $9,462.00	Facility		$2,140.00	$5,958.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $375.30 / $564.88	Professional		$289.05	$375.30	$564.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.79 / $502.83 / $678.59	Facility		$386.79	$502.83	$678.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $500.41 / $600.49 / $750.62	Professional		$500.41	$600.49	$750.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $723.47 / $848.27	Facility		$615.00	$723.47	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.99 / $538.34 / $898.26	Professional		$375.99	$538.34	$898.26
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $567.69 / $1,066.83	Professional		$437.35	$567.69	$1,066.83