Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.88 / $5,080.52 / $8,715.17	Facility		$958.88	$5,080.52	$8,715.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.33 / $1,002.24 / $1,273.18	Professional		$851.33	$1,002.24	$1,273.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,306.46 / $1,306.46 / $1,306.46	Professional		$1,306.46	$1,306.46	$1,306.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.22 / $4,731.85 / $7,287.00	Facility		$1,053.22	$4,731.85	$7,287.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.50 / $1,053.22 / $1,535.36	Professional		$782.50	$1,053.22	$1,535.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $837.29 / $1,175.81	Facility		$124.55	$837.29	$1,175.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $833.57 / $1,096.69	Professional		$118.89	$833.57	$1,096.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,478.99 / $5,478.99 / $5,479.00	Facility		$5,478.99	$5,478.99	$5,479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.50 / $1,261.84 / $2,068.51	Professional		$942.50	$1,261.84	$2,068.51
United Facility/Professional Professional Modifier Low / Median / High Price $817.42 / $1,045.17 / $1,814.00	Professional		$817.42	$1,045.17	$1,814.00