Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.04 / $901.09 / $1,171.24	Facility		$693.04	$901.09	$1,171.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $847.46 / $1,596.25	Professional		$553.35	$847.46	$1,596.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $700.78 / $824.44 / $1,358.97	Professional		$700.78	$824.44	$1,358.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.84 / $585.84 / $1,130.67	Facility		$585.84	$585.84	$1,130.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.96 / $747.10 / $1,011.39	Professional		$497.96	$747.10	$1,011.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $693.04 / $900.95 / $1,039.56	Facility		$693.04	$900.95	$1,039.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.98 / $1,039.60 / $1,319.28	Professional		$905.98	$1,039.60	$1,319.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.02 / $881.23 / $1,649.51	Professional		$559.02	$881.23	$1,649.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.09 / $913.68 / $1,413.14	Professional		$666.09	$913.68	$1,413.14