Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.99 / $543.00 / $5,634.00	Facility		$173.99	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $242.92 / $333.13	Professional		$173.99	$242.92	$333.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $231.10 / $231.10	Professional		$231.10	$231.10	$231.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $231.68 / $322.14	Professional		$165.30	$231.68	$322.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $247.10 / $366.13	Facility		$169.65	$247.10	$366.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $320.77 / $384.44	Professional		$267.32	$320.77	$384.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.22 / $233.22 / $233.22	Facility		$233.22	$233.22	$233.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $266.47 / $415.09	Professional		$181.29	$266.47	$415.09
United Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $3,267.00 / $4,480.00	Facility		$963.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $306.97 / $523.62	Professional		$228.04	$306.97	$523.62