Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $831.76 / $6,918.31	Facility		$213.80	$831.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $851.14	Professional		$213.80	$389.05	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $380.19	Professional		$194.98	$331.13	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $8,709.64	Facility		$2,137.96	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $562.34	Professional		$251.19	$371.54	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $331.13	Facility		$239.88	$295.12	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $524.81	Professional		$380.19	$426.58	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,137.96 / $5,754.40	Facility		$512.86	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $575.44	Professional		$234.42	$371.54	$575.44