Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.43 / $886.43 / $1,790.97	Facility		$886.43	$886.43	$1,790.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.34 / $920.52 / $961.94	Professional		$852.34	$920.52	$961.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,253.68 / $1,732.00 / $1,790.97	Professional		$1,253.68	$1,732.00	$1,790.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.87 / $1,602.92 / $1,790.97	Facility		$1,414.87	$1,602.92	$1,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.69 / $968.81 / $1,336.95	Professional		$873.69	$968.81	$1,336.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,350.47 / $1,970.07 / $2,686.46	Facility		$1,350.47	$1,970.07	$2,686.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,522.32 / $1,970.07 / $2,417.81	Professional		$1,522.32	$1,970.07	$2,417.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,790.97	Facility		$1,162.20	$1,162.20	$1,790.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,162.20 / $1,837.18	Professional		$848.41	$1,162.20	$1,837.18
United Facility/Professional Professional Modifier Low / Median / High Price $532.11 / $856.19 / $1,202.59	Professional		$532.11	$856.19	$1,202.59