Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.95 / $7,954.00 / $19,071.00	Facility		$691.95	$7,954.00	$19,071.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.27 / $720.79 / $1,021.57	Professional		$533.27	$720.79	$1,021.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $496.44 / $695.01	Professional		$496.44	$496.44	$695.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $12,472.00 / $24,099.00	Facility		$1,614.00	$12,472.00	$24,099.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $870.76 / $1,352.24	Professional		$622.04	$870.76	$1,352.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.57 / $705.47 / $1,097.40	Facility		$522.57	$705.47	$1,097.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $669.00 / $802.80 / $1,003.50	Professional		$669.00	$802.80	$1,003.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $9,608.00 / $28,664.00	Facility		$2,218.40	$9,608.00	$28,664.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.88 / $843.48 / $1,588.84	Professional		$577.88	$843.48	$1,588.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,117.00 / $11,200.00 / $17,380.00	Facility		$5,117.00	$11,200.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.53 / $984.23 / $1,490.75	Professional		$695.53	$984.23	$1,490.75