Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,011.87 / $14,125.38	Facility		$812.83	$5,011.87	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,548.82	Professional		$691.83	$933.25	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,548.82	Professional		$478.63	$831.76	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $18,197.01 / $26,302.68	Facility		$5,128.61	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,659.59	Professional		$741.31	$1,096.48	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $831.76	Facility		$707.95	$724.44	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,737.80	Facility		$741.31	$1,174.90	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,819.70	Professional		$660.69	$977.24	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $16,218.10	Facility		$4,265.80	$9,549.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,479.11	Professional		$691.83	$912.01	$1,479.11