Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.01 / $748.61 / $5,221.06	Facility		$180.01	$748.61	$5,221.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $253.80 / $528.00	Professional		$157.91	$253.80	$528.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $279.73 / $341.69	Professional		$248.75	$279.73	$341.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $212.71 / $343.76	Professional		$141.19	$212.71	$343.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.74 / $208.49 / $242.87	Facility		$173.74	$208.49	$242.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $300.69 / $369.02	Professional		$273.35	$300.69	$369.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.24 / $272.24 / $272.24	Facility		$272.24	$272.24	$272.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $268.06 / $458.85	Professional		$170.21	$268.06	$458.85
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $292.67 / $471.14	Professional		$217.01	$292.67	$471.14