Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.56 / $772.56 / $1,638.96	Facility		$772.56	$772.56	$1,638.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.53 / $772.56 / $846.85	Professional		$702.53	$772.56	$846.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,092.64 / $1,170.68 / $1,560.91	Professional		$1,092.64	$1,170.68	$1,560.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.11 / $1,397.01 / $1,560.91	Facility		$1,233.11	$1,397.01	$1,560.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $765.53 / $1,033.46	Professional		$170.00	$765.53	$1,033.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.83 / $1,717.00 / $2,341.37	Facility		$1,236.83	$1,717.00	$2,341.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,326.77 / $1,717.00 / $2,107.23	Professional		$1,326.77	$1,717.00	$2,107.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,560.91	Facility		$906.54	$906.54	$1,560.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $1,570.79	Professional		$661.77	$906.54	$1,570.79
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $743.61 / $1,032.26	Professional		$420.18	$743.61	$1,032.26