Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.75 / $3,207.62 / $8,211.42	Facility		$468.75	$3,207.62	$8,211.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $470.66 / $1,140.38	Professional		$400.00	$470.66	$1,140.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $325.92 / $372.48	Professional		$325.92	$325.92	$372.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.76 / $599.40 / $827.17	Professional		$386.76	$599.40	$827.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $465.60 / $605.28 / $698.40	Facility		$465.60	$605.28	$698.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.60 / $558.72 / $698.40	Professional		$465.60	$558.72	$698.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.89 / $642.66 / $1,020.14	Professional		$478.89	$642.66	$1,020.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.68 / $538.37 / $940.88	Professional		$401.68	$538.37	$940.88