Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.72 / $1,386.00 / $7,212.00	Facility		$311.72	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $498.33 / $904.98	Professional		$308.64	$498.33	$904.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $461.42 / $464.49	Professional		$292.23	$461.42	$464.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $374.35 / $531.57	Professional		$245.54	$374.35	$531.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.61 / $399.89 / $677.77	Facility		$307.61	$399.89	$677.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.11 / $544.89 / $739.67	Professional		$493.11	$544.89	$739.67
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 $358.86 / $566.90 / $913.36	Professional		$358.86	$566.90	$913.36
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 $436.12 / $595.50 / $1,084.75	Professional		$436.12	$595.50	$1,084.75