Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $144.00 / $2,400.00	Professional		$108.00	$144.00	$2,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.50 / $1,147.50 / $2,214.67	Facility		$1,147.50	$1,147.50	$2,214.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $1,147.50 / $1,549.12	Professional		$860.00	$1,147.50	$1,549.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.32 / $409.25 / $5,194.32	Facility		$283.32	$409.25	$5,194.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $456.47 / $5,312.37	Professional		$283.32	$456.47	$5,312.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $416.31 / $1,500.00	Professional		$350.58	$416.31	$1,500.00