Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $1,380.38	Facility		$302.00	$645.65	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,258.93	Facility		$416.87	$416.87	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $346.74	Professional		$141.25	$165.96	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $831.76	Facility		$398.11	$524.81	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $588.84	Professional		$416.87	$478.63	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,621.81	Facility		$269.15	$537.03	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $512.86 / $1,258.93	Professional		$218.78	$512.86	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87