Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $5,248.07	Facility		$218.78	$354.81	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $537.03	Professional		$190.55	$234.42	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $302.00	Professional		$104.71	$134.90	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $371.54	Professional		$154.88	$204.17	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $245.47	Facility		$194.98	$213.80	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $602.56	Facility		$218.78	$309.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $416.87	Professional		$208.93	$269.15	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,025.60 / $10,715.19	Facility		$1,348.96	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $416.87	Professional		$181.97	$234.42	$416.87