Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,897.79 / $17,378.01	Facility		$1,621.81	$4,897.79	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,238.72	Professional		$1,096.48	$1,288.25	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,071.52	Professional		$933.25	$933.25	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $18,620.87 / $26,302.68	Facility		$3,019.95	$18,620.87	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,089.30	Professional		$1,023.29	$1,348.96	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,698.24 / $2,818.38	Facility		$446.68	$1,698.24	$2,818.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	54	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,862.09	Professional		$933.25	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,549.93 / $16,218.10	Facility		$3,388.44	$9,549.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,137.96	Professional		$1,000.00	$1,258.93	$2,137.96