Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $768.46 / $7,212.00	Facility		$266.12	$768.46	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $501.27 / $716.67	Professional		$266.12	$501.27	$716.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.26 / $578.60 / $628.92	Professional		$263.26	$578.60	$628.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $443.72 / $802.28	Professional		$273.30	$443.72	$802.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.61 / $347.53 / $405.45	Facility		$289.61	$347.53	$405.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.60 / $636.46 / $781.11	Professional		$578.60	$636.46	$781.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $579.79 / $984.95	Professional		$299.04	$579.79	$984.95
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 $478.01 / $638.69 / $971.65	Professional		$478.01	$638.69	$971.65