Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.36 / $4,384.93 / $7,661.73	Facility		$161.36	$4,384.93	$7,661.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $161.36 / $223.18	Professional		$122.07	$161.36	$223.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $158.78 / $177.21	Professional		$150.96	$158.78	$177.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $151.44 / $229.51	Professional		$117.03	$151.44	$229.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.07 / $148.66 / $239.49	Facility		$120.07	$148.66	$239.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.49 / $209.39 / $251.46	Professional		$174.49	$209.39	$251.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.16 / $165.16 / $165.16	Facility		$165.16	$165.16	$165.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $189.86 / $295.75	Professional		$133.68	$189.86	$295.75
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 $145.00 / $189.84 / $304.81	Professional		$145.00	$189.84	$304.81