Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.56 / $2,472.00 / $17,225.00	Facility		$916.56	$2,472.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $916.56 / $1,381.73	Professional		$813.63	$916.56	$1,381.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $754.20 / $1,243.19	Professional		$754.20	$754.20	$1,243.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.66 / $1,150.79 / $1,601.01	Professional		$914.66	$1,150.79	$1,601.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $845.37 / $1,077.43 / $1,243.19	Facility		$845.37	$1,077.43	$1,243.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.79 / $994.55 / $1,243.19	Professional		$828.79	$994.55	$1,243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.21 / $1,174.28 / $1,948.52	Professional		$930.21	$1,174.28	$1,948.52
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 $864.56 / $1,039.54 / $1,645.74	Professional		$864.56	$1,039.54	$1,645.74