Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $1,773.00 / $7,646.27	Facility		$173.58	$1,773.00	$7,646.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $342.18 / $499.29	Professional		$170.12	$342.18	$499.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $118.38 / $253.67	Professional		$118.38	$118.38	$253.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $194.63 / $291.36	Professional		$138.47	$194.63	$291.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.11 / $219.84 / $583.85	Facility		$169.11	$219.84	$583.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.44 / $502.13 / $627.66	Professional		$418.44	$502.13	$627.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,125.20	Facility		$949.22	$949.22	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $388.96 / $691.58	Professional		$199.00	$388.96	$691.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $436.54 / $757.74	Professional		$311.13	$436.54	$757.74