Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,265.80 / $17,782.79	Facility		$489.78	$4,265.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,000.00 / $3,235.94	Professional		$380.19	$1,000.00	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $2,089.30	Professional		$338.84	$457.09	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $38,904.51 / $57,543.99	Facility		$4,073.80	$38,904.51	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $954.99	Professional		$389.05	$616.60	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Facility		$380.19	$426.58	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $2,754.23	Professional		$1,905.46	$2,570.40	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $8,128.31	Facility		$6,760.83	$6,760.83	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $2,818.38	Professional		$426.58	$724.44	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $11,220.18 / $17,378.01	Facility		$5,128.61	$11,220.18	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,071.52 / $2,511.89	Professional		$371.54	$1,071.52	$2,511.89