Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,897.79 / $16,218.10	Facility		$776.25	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,202.26	Professional		$457.09	$660.69	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $645.65	Professional		$389.05	$436.52	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,511.38 / $11,220.18	Facility		$3,981.07	$8,511.38	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,230.27	Facility		$478.63	$691.83	$1,230.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,000.00	Professional		$436.52	$630.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,715.19	Facility		$1,862.09	$5,623.41	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,047.13	Professional		$436.52	$630.96	$1,047.13