Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $721.07 / $1,441.99	Facility		$416.78	$721.07	$1,441.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $1,250.33 / $2,262.69	Facility		$166.71	$1,250.33	$2,262.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $166.71 / $230.05	Professional		$141.69	$166.71	$230.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $562.65 / $666.85	Facility		$416.78	$562.65	$666.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $458.46 / $583.49	Professional		$416.78	$458.46	$583.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $787.42 / $1,625.61	Facility		$270.91	$787.42	$1,625.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $507.69 / $608.27	Professional		$220.06	$507.69	$608.27
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $229.45 / $416.87	Professional		$165.11	$229.45	$416.87