Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $2,318.00 / $11,093.00	Facility		$609.29	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $728.47 / $922.72	Professional		$609.29	$728.47	$922.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.48 / $591.48 / $591.48	Professional		$591.48	$591.48	$591.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $755.81 / $925.66	Professional		$553.90	$755.81	$925.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $830.85 / $1,133.71 / $1,388.49	Professional	50	$830.85	$1,133.71	$1,388.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $591.48 / $791.85 / $1,375.19	Facility		$591.48	$791.85	$1,375.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.04 / $875.05 / $1,260.08	Professional		$700.04	$875.05	$1,260.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $646.00 / $1,375.01	Facility		$450.00	$646.00	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.21 / $759.73 / $1,323.15	Professional		$532.21	$759.73	$1,323.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,076.00 / $5,995.00 / $10,413.00	Facility		$1,076.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $832.16 / $1,505.81	Professional		$627.00	$832.16	$1,505.81