Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $731.00 / $7,212.00	Facility		$188.58	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $258.67 / $346.64	Professional		$188.58	$258.67	$346.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $246.01 / $246.01	Professional		$246.01	$246.01	$246.01
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 $186.08 / $260.39 / $372.56	Professional		$186.08	$260.39	$372.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.24 / $268.36 / $389.29	Facility		$184.24	$268.36	$389.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.87 / $341.84 / $408.75	Professional		$284.87	$341.84	$408.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $242.33 / $242.33	Facility		$242.33	$242.33	$242.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $306.72 / $481.15	Professional		$212.78	$306.72	$481.15
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 $243.25 / $311.16 / $496.49	Professional		$243.25	$311.16	$496.49