Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.01 / $817.01 / $1,716.73	Facility		$817.01	$817.01	$1,716.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $817.01 / $849.69	Professional		$706.79	$817.01	$849.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,201.71 / $1,287.55 / $1,287.55	Professional		$1,201.71	$1,287.55	$1,287.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,356.22 / $1,536.47 / $1,716.73	Facility		$1,356.22	$1,536.47	$1,716.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.49 / $874.06 / $1,198.49	Professional		$837.49	$874.06	$1,198.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.18 / $1,802.57 / $2,403.42	Facility		$1,225.18	$1,802.57	$2,403.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,459.22 / $1,888.40 / $2,317.59	Professional		$1,459.22	$1,888.40	$2,317.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,716.73	Facility		$1,200.11	$1,200.11	$1,716.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,200.11 / $1,503.23	Professional		$876.09	$1,200.11	$1,503.23
United Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $856.46 / $1,147.08	Professional		$479.40	$856.46	$1,147.08