Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.59 / $1,391.00 / $14,063.00	Facility		$595.59	$1,391.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.59 / $637.66 / $808.94	Professional		$595.59	$637.66	$808.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $873.90 / $873.90 / $873.90	Professional		$873.90	$873.90	$873.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $9,015.00 / $20,600.00	Facility		$4,146.00	$9,015.00	$20,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.32 / $825.90 / $1,139.74	Professional		$657.32	$825.90	$1,139.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $594.25 / $757.38 / $873.90	Facility		$594.25	$757.38	$873.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $582.60 / $699.12 / $873.90	Professional		$582.60	$699.12	$873.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,833.32 / $3,833.32 / $3,833.32	Facility		$3,833.32	$3,833.32	$3,833.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $822.51 / $1,409.68	Professional		$600.75	$822.51	$1,409.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.24 / $729.27 / $1,225.98	Professional		$580.24	$729.27	$1,225.98