Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.69 / $2,278.75 / $5,634.00	Facility		$124.69	$2,278.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $173.75 / $501.22	Professional		$68.83	$173.75	$501.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $302.43 / $302.43	Professional		$302.43	$302.43	$302.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $227.32	Facility		$117.78	$117.78	$227.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $249.26 / $838.37	Professional		$94.22	$249.26	$838.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.26 / $95.91 / $467.44	Facility		$75.26	$95.91	$467.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $398.82 / $498.53	Professional		$332.35	$398.82	$498.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $422.40 / $857.69	Professional		$95.98	$422.40	$857.69
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 $461.67 / $613.84 / $960.27	Professional		$461.67	$613.84	$960.27