Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,187.76 / $5,623.41	Facility		$467.74	$2,187.76	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $416.87 / $1,621.81	Professional		$169.82	$416.87	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $562.34	Professional		$338.84	$371.54	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $371.54	Facility		$190.55	$190.55	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $660.69	Professional		$173.78	$323.59	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $245.47	Facility		$177.83	$213.80	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $512.86	Professional		$371.54	$416.87	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $398.11 / $660.69	Facility		$208.93	$398.11	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $549.54	Professional		$186.21	$363.08	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $562.34	Professional		$165.96	$309.03	$562.34