Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.05 / $2,318.00 / $14,063.00	Facility		$835.05	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.22 / $888.48 / $1,398.93	Professional		$826.22	$888.48	$1,398.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $808.53 / $808.53 / $1,212.80	Professional		$808.53	$808.53	$1,212.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $8,512.00 / $16,307.00	Facility		$3,719.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.76 / $1,136.45 / $1,500.64	Professional		$835.76	$1,136.45	$1,500.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.53 / $1,082.42 / $1,637.28	Facility		$808.53	$1,082.42	$1,637.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $808.53 / $1,010.66 / $1,455.36	Professional		$808.53	$1,010.66	$1,455.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $992.47 / $2,806.76	Facility		$560.00	$992.47	$2,806.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.93 / $1,042.01 / $1,730.78	Professional		$693.93	$1,042.01	$1,730.78
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 $735.18 / $968.69 / $1,744.43	Professional		$735.18	$968.69	$1,744.43