Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.70 / $2,318.00 / $7,212.00	Facility		$933.70	$2,318.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.78 / $933.70 / $1,232.75	Professional		$868.78	$933.70	$1,232.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $678.78 / $678.78	Professional		$678.78	$678.78	$678.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $6,340.00 / $15,727.00	Facility		$2,310.00	$6,340.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.74 / $1,133.09 / $1,563.67	Professional		$856.74	$1,133.09	$1,563.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $1,176.55 / $1,357.56	Facility		$905.04	$1,176.55	$1,357.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.04 / $1,073.31 / $1,357.56	Professional		$905.04	$1,073.31	$1,357.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,140.62 / $4,140.62 / $4,908.29	Facility		$4,140.62	$4,140.62	$4,908.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.21 / $1,243.64 / $2,063.71	Professional		$929.21	$1,243.64	$2,063.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.79 / $1,103.53 / $1,913.13	Professional		$818.79	$1,103.53	$1,913.13