Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.06 / $2,318.00 / $10,985.00	Facility		$658.06	$2,318.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.06 / $737.56 / $845.13	Professional		$658.06	$737.56	$845.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $576.89 / $576.89	Professional		$576.89	$576.89	$576.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.00 / $9,518.00 / $26,304.00	Facility		$1,976.00	$9,518.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.75 / $626.77 / $844.38	Professional		$532.75	$626.77	$844.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.02 / $828.13 / $1,289.97	Facility		$637.02	$828.13	$1,289.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.02 / $796.28 / $1,146.63	Professional		$637.02	$796.28	$1,146.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $646.00 / $2,806.76	Facility		$450.00	$646.00	$2,806.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.45 / $891.45 / $1,296.26	Professional		$692.45	$891.45	$1,296.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.57 / $766.43 / $1,347.86	Professional		$615.57	$766.43	$1,347.86