Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $927.00 / $7,212.00	Facility		$297.02	$927.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $361.04 / $489.18	Professional		$260.55	$361.04	$489.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.43 / $366.43 / $366.43	Professional		$366.43	$366.43	$366.43
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 $254.88 / $343.87 / $516.13	Professional		$254.88	$343.87	$516.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.44 / $369.16 / $550.30	Facility		$253.44	$369.16	$550.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.67 / $483.20 / $577.83	Professional		$402.67	$483.20	$577.83
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 $236.74 / $373.89 / $635.60	Professional		$236.74	$373.89	$635.60
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 $309.75 / $462.31 / $698.10	Professional		$309.75	$462.31	$698.10