Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.57 / $4,538.28 / $16,042.00	Facility		$576.57	$4,538.28	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $576.57 / $941.12	Professional		$471.62	$576.57	$941.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $795.17 / $795.17 / $795.17	Professional		$795.17	$795.17	$795.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $7,581.00 / $14,620.00	Facility		$3,278.00	$7,581.00	$14,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.16 / $644.16 / $888.95	Professional		$503.16	$644.16	$888.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.71 / $689.14 / $795.17	Facility		$540.71	$689.14	$795.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.11 / $636.13 / $795.17	Professional		$530.11	$636.13	$795.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $682.08 / $1,259.00	Professional		$527.54	$682.08	$1,259.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.58 / $612.27 / $974.04	Professional		$481.58	$612.27	$974.04