Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.42 / $635.86 / $4,846.00	Facility		$457.42	$635.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.93 / $618.89 / $792.91	Professional		$447.93	$618.89	$792.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $943.62 / $943.62 / $943.62	Professional		$943.62	$943.62	$943.62
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 $494.83 / $728.58 / $983.58	Professional		$494.83	$728.58	$983.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.95 / $583.64 / $845.87	Facility		$448.95	$583.64	$845.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $629.08 / $754.90 / $943.62	Professional		$629.08	$754.90	$943.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $197.20	Facility		$166.36	$166.36	$197.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $764.35 / $1,293.28	Professional		$544.66	$764.35	$1,293.28
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 $572.36 / $777.99 / $1,378.25	Professional		$572.36	$777.99	$1,378.25