Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.63 / $1,467.29 / $7,212.00	Facility		$176.63	$1,467.29	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $256.77 / $381.01	Professional		$176.63	$256.77	$381.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $145.69	Professional		$127.75	$127.75	$145.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $237.00 / $346.90	Professional		$171.84	$237.00	$346.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.33 / $251.02 / $383.89	Facility		$172.33	$251.02	$383.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $336.92 / $403.08	Professional		$280.77	$336.92	$403.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $273.61 / $434.15	Professional		$176.21	$273.61	$434.15
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 $231.79 / $312.61 / $635.66	Professional		$231.79	$312.61	$635.66