Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,380.38 / $4,897.79	Facility		$467.74	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $724.44	Professional		$257.04	$316.23	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $436.52	Professional		$213.80	$263.03	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $338.84	Facility		$269.15	$295.12	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $602.56	Facility		$275.42	$363.08	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $524.81	Professional		$257.04	$338.84	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $524.81	Professional		$234.42	$302.00	$524.81