Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $3,026.39 / $6,942.50	Facility		$149.71	$3,026.39	$6,942.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $149.71 / $308.00	Professional		$112.89	$149.71	$308.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $147.44 / $206.41	Professional		$147.44	$147.44	$206.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $144.33 / $212.61	Professional		$109.82	$144.33	$212.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $150.05 / $174.52	Facility		$125.04	$150.05	$174.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $178.22 / $218.73	Professional		$162.02	$178.22	$218.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Facility		$151.72	$151.72	$151.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $170.63 / $270.16	Professional		$120.89	$170.63	$270.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $175.20 / $279.23	Professional		$129.09	$175.20	$279.23