Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.29 / $4,131.24 / $9,053.92	Facility		$263.29	$4,131.24	$9,053.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.94 / $263.29 / $397.17	Professional		$203.94	$263.29	$397.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $359.16 / $366.06	Professional		$359.16	$359.16	$366.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $250.87 / $378.46	Professional		$194.46	$250.87	$378.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $292.50 / $391.88	Facility		$200.81	$292.50	$391.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $344.80 / $411.47	Professional		$287.33	$344.80	$411.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $286.77 / $455.99	Professional		$199.28	$286.77	$455.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.66 / $304.99 / $491.75	Professional		$233.66	$304.99	$491.75