Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.10 / $927.00 / $7,212.00	Facility		$444.10	$927.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.10 / $572.98 / $710.45	Professional		$444.10	$572.98	$710.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.71 / $431.71 / $431.71	Professional		$431.71	$431.71	$431.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.87 / $548.29 / $738.66	Professional		$409.87	$548.29	$738.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.71 / $577.95 / $1,003.73	Facility		$431.71	$577.95	$1,003.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.07 / $716.34 / $1,031.52	Professional		$573.07	$716.34	$1,031.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $565.00 / $1,627.38	Facility		$420.00	$565.00	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $622.27 / $1,079.26	Professional		$439.08	$622.27	$1,079.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $723.31 / $1,265.15	Professional		$524.10	$723.31	$1,265.15