Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.78 / $2,318.00 / $11,093.00	Facility		$861.78	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.78 / $918.34 / $1,163.41	Professional		$856.78	$918.34	$1,163.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.33 / $425.33 / $425.33	Professional		$425.33	$425.33	$425.33
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 $831.70 / $1,200.59 / $1,617.44	Professional		$831.70	$1,200.59	$1,617.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $836.22 / $1,119.50 / $1,693.35	Facility		$836.22	$1,119.50	$1,693.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.22 / $1,045.28 / $1,505.19	Professional		$836.22	$1,045.28	$1,505.19
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 $754.67 / $1,098.46 / $1,732.27	Professional		$754.67	$1,098.46	$1,732.27
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 $762.84 / $1,000.12 / $1,815.25	Professional		$762.84	$1,000.12	$1,815.25