Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $8,128.31	Facility		$302.00	$645.65	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $1,071.52	Professional		$251.19	$446.68	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $537.03	Professional		$194.98	$275.42	$537.03
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 $302.00 / $446.68 / $741.31	Professional		$302.00	$446.68	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $389.05	Facility		$281.84	$346.74	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $588.84	Professional		$426.58	$467.74	$588.84
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 $309.03 / $501.19 / $776.25	Professional		$309.03	$501.19	$776.25
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 $269.15 / $446.68 / $707.95	Professional		$269.15	$446.68	$707.95