Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.08 / $391.94 / $4,846.00	Facility		$386.08	$391.94	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.46 / $425.33 / $529.12	Professional		$381.46	$425.33	$529.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $573.71 / $573.71 / $573.71	Professional		$573.71	$573.71	$573.71
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 $422.42 / $581.39 / $802.31	Professional		$422.42	$581.39	$802.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $385.25 / $528.78 / $793.17	Facility		$385.25	$528.78	$793.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.47 / $478.09 / $688.44	Professional		$382.47	$478.09	$688.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.53 / $568.38 / $885.17	Professional		$424.53	$568.38	$885.17
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 $380.38 / $503.75 / $893.18	Professional		$380.38	$503.75	$893.18