Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $1,386.00 / $5,634.00	Facility		$158.12	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $324.49 / $529.04	Professional		$158.12	$324.49	$529.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $371.70 / $557.54	Professional		$257.82	$371.70	$557.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $190.87 / $368.38	Facility		$190.87	$190.87	$368.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $271.02 / $522.50	Professional		$162.22	$271.02	$522.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $206.26 / $240.63	Facility		$171.88	$206.26	$240.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $408.87 / $501.80	Professional		$371.70	$408.87	$501.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $384.63 / $642.88	Professional		$188.05	$384.63	$642.88
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 $305.86 / $407.48 / $638.70	Professional		$305.86	$407.48	$638.70