Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $1,386.00 / $7,212.00	Facility		$148.22	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $196.31 / $283.43	Professional		$148.22	$196.31	$283.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $185.93 / $185.93	Professional		$185.93	$185.93	$185.93
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 $144.63 / $188.72 / $282.17	Professional		$144.63	$188.72	$282.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.86 / $215.37 / $294.02	Facility		$147.86	$215.37	$294.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $258.56 / $308.73	Professional		$215.47	$258.56	$308.73
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 $165.48 / $233.16 / $336.85	Professional		$165.48	$233.16	$336.85
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 $181.62 / $242.16 / $405.78	Professional		$181.62	$242.16	$405.78