Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $5,196.88 / $16,042.00	Facility		$288.33	$5,196.88	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.28 / $430.88 / $2,408.71	Professional		$240.28	$430.88	$2,408.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $200.49 / $1,602.78	Professional		$100.24	$200.49	$1,602.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $10,700.00 / $28,091.00	Facility		$4,838.00	$10,700.00	$28,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $520.00 / $4,092.56	Professional		$200.95	$520.00	$4,092.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.32 / $286.42 / $341.50	Facility		$220.32	$286.42	$341.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,761.30 / $2,025.50 / $2,641.95	Professional		$1,761.30	$2,025.50	$2,641.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.66 / $2,982.66 / $2,982.66	Facility		$2,982.66	$2,982.66	$2,982.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $991.29 / $3,587.39	Professional		$310.89	$991.29	$3,587.39
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 $1,542.38 / $2,147.42 / $3,383.39	Professional		$1,542.38	$2,147.42	$3,383.39