Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $2,631.77 / $13,656.77	Facility		$401.69	$2,631.77	$13,656.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $411.99 / $646.63	Professional		$345.68	$411.99	$646.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.82 / $451.82 / $451.82	Professional		$451.82	$451.82	$451.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $7,833.00 / $14,645.00	Facility		$2,807.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $438.50 / $605.13	Professional		$350.80	$438.50	$605.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.64 / $522.63 / $839.96	Facility		$396.64	$522.63	$839.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $466.64 / $671.96	Professional		$380.78	$466.64	$671.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $761.00 / $4,249.88	Facility		$473.66	$761.00	$4,249.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $505.54 / $831.22	Professional		$376.86	$505.54	$831.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,830.00 / $11,284.00	Facility		$2,029.00	$7,830.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $445.69 / $805.82	Professional		$348.96	$445.69	$805.82