Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.99 / $373.60 / $7,212.00	Facility		$196.99	$373.60	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $276.86 / $311.70	Professional		$196.99	$276.86	$311.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $276.39 / $276.39	Professional		$276.39	$276.39	$276.39
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 $194.03 / $265.24 / $379.67	Professional		$194.03	$265.24	$379.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.03 / $279.70 / $416.11	Facility		$192.03	$279.70	$416.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.74 / $364.49 / $436.92	Professional		$303.74	$364.49	$436.92
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 $211.10 / $306.87 / $473.68	Professional		$211.10	$306.87	$473.68
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 $259.23 / $328.10 / $528.08	Professional		$259.23	$328.10	$528.08