Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.79 / $3,930.53 / $4,107.26	Facility		$766.79	$3,930.53	$4,107.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.67 / $819.18 / $950.95	Professional		$748.67	$819.18	$950.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $819.96 / $1,429.42 / $1,551.24	Professional		$819.96	$1,429.42	$1,551.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.76 / $777.76 / $1,501.08	Facility		$777.76	$777.76	$1,501.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.09 / $777.76 / $1,314.49	Professional		$661.09	$777.76	$1,314.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.35 / $1,004.69 / $1,125.25	Facility		$717.35	$1,004.69	$1,125.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $803.75 / $888.14 / $1,112.09	Professional		$803.75	$888.14	$1,112.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.57 / $1,033.45 / $1,446.75	Professional		$813.57	$1,033.45	$1,446.75
United Facility/Professional Professional Modifier Low / Median / High Price $678.63 / $935.69 / $1,480.13	Professional		$678.63	$935.69	$1,480.13