Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.77 / $543.00 / $4,846.00	Facility		$162.77	$543.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $259.20 / $455.00	Professional		$162.77	$259.20	$455.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $253.47 / $482.32	Professional		$139.27	$253.47	$482.32
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 $162.01 / $230.30 / $332.00	Professional		$162.01	$230.30	$332.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $214.36 / $250.08	Facility		$178.63	$214.36	$250.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $306.39 / $376.03	Professional		$278.54	$306.39	$376.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.17 / $266.17 / $266.17	Facility		$266.17	$266.17	$266.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $269.42 / $439.80	Professional		$188.64	$269.42	$439.80
United Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $2,049.00 / $4,395.00	Facility		$334.84	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.31 / $298.54 / $479.66	Professional		$226.31	$298.54	$479.66