Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.92 / $1,030.00 / $14,063.00	Facility		$424.92	$1,030.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $565.65 / $721.78	Professional		$424.92	$565.65	$721.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.79 / $413.79 / $413.79	Professional		$413.79	$413.79	$413.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $6,653.00 / $11,752.00	Facility		$2,807.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.07 / $599.13 / $731.98	Professional		$399.07	$599.13	$731.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $598.60 / $898.70 / $1,097.97	Professional	50	$598.60	$898.70	$1,097.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.79 / $553.97 / $962.06	Facility		$413.79	$553.97	$962.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.30 / $724.14 / $1,042.76	Professional		$579.30	$724.14	$1,042.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $754.88 / $1,375.01	Facility		$560.00	$754.88	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.31 / $619.77 / $1,053.13	Professional		$437.31	$619.77	$1,053.13
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 $519.35 / $692.33 / $1,140.69	Professional		$519.35	$692.33	$1,140.69