Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $1,154.50 / $7,212.00	Facility		$200.95	$1,154.50	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $310.04 / $434.98	Professional		$200.95	$310.04	$434.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $347.98 / $396.71	Professional		$164.81	$347.98	$396.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $286.83 / $417.61	Professional		$202.00	$286.83	$417.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.12 / $285.66 / $478.79	Facility		$196.12	$285.66	$478.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.98 / $417.58 / $502.73	Professional		$347.98	$417.58	$502.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $355.92 / $597.79	Professional		$245.42	$355.92	$597.79
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 $284.70 / $375.17 / $683.41	Professional		$284.70	$375.17	$683.41