Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $834.00 / $7,954.00	Facility		$214.31	$834.00	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $347.82 / $490.87	Professional		$214.31	$347.82	$490.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.47 / $380.73 / $485.05	Professional		$346.47	$380.73	$485.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.00 / $5,061.00 / $9,462.00	Facility		$2,073.00	$5,061.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $334.93 / $474.20	Professional		$216.08	$334.93	$474.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.30 / $281.16 / $328.02	Facility		$234.30	$281.16	$328.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.73 / $418.80 / $513.99	Professional		$380.73	$418.80	$513.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $389.45 / $673.01	Professional		$267.60	$389.45	$673.01
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 $331.31 / $441.74 / $649.40	Professional		$331.31	$441.74	$649.40