Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.06 / $4,846.00 / $11,093.00	Facility		$366.06	$4,846.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.02 / $368.94 / $696.00	Professional		$324.02	$368.94	$696.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $427.29 / $503.10	Professional		$427.29	$427.29	$503.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $28,794.00	Facility		$3,473.00	$7,890.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $466.97 / $645.53	Professional		$364.87	$466.97	$645.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.11 / $436.02 / $503.10	Facility		$342.11	$436.02	$503.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $402.48 / $503.10	Professional		$335.40	$402.48	$503.10
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 $383.50 / $484.30 / $948.26	Professional		$383.50	$484.30	$948.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.88 / $424.67 / $656.92	Professional		$344.88	$424.67	$656.92