Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.35 / $1,773.00 / $5,634.00	Facility		$339.35	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $339.35 / $450.10	Professional		$298.19	$339.35	$450.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $329.25 / $329.25	Professional		$329.25	$329.25	$329.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $438.50 / $605.13	Professional		$273.02	$438.50	$605.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $438.13 / $505.53	Facility		$337.02	$438.13	$505.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.02 / $395.39 / $505.53	Professional		$337.02	$395.39	$505.53
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 $335.95 / $460.35 / $753.01	Professional		$335.95	$460.35	$753.01
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 $290.39 / $379.12 / $688.69	Professional		$290.39	$379.12	$688.69