Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $588.84 / $3,801.89	Facility		$190.55	$588.84	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $676.08	Professional		$158.49	$302.00	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $407.38	Professional		$158.49	$263.03	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $446.68	Professional		$141.25	$229.09	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $245.47	Facility		$177.83	$213.80	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $371.54	Professional		$275.42	$302.00	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $489.78	Facility		$208.93	$302.00	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $398.11	Professional		$169.82	$269.15	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,137.96 / $5,754.40	Facility		$331.13	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $407.38	Professional		$158.49	$245.47	$407.38