Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.19 / $1,022.29 / $16,042.00	Facility		$331.19	$1,022.29	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.27 / $381.87 / $456.16	Professional		$317.27	$381.87	$456.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $499.07 / $499.07 / $499.07	Professional		$499.07	$499.07	$499.07
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 $332.82 / $437.11 / $603.21	Professional		$332.82	$437.11	$603.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.36 / $432.52 / $524.17	Facility		$339.36	$432.52	$524.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $437.15 / $570.20	Professional		$380.13	$437.15	$570.20
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 $336.40 / $434.45 / $769.15	Professional		$336.40	$434.45	$769.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,148.00 / $6,094.00 / $12,090.00	Facility		$2,148.00	$6,094.00	$12,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.97 / $447.94 / $689.88	Professional		$350.97	$447.94	$689.88