Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.94 / $2,974.73 / $11,093.00	Facility		$290.94	$2,974.73	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.54 / $404.73 / $736.71	Professional		$281.54	$404.73	$736.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $398.99 / $398.99	Professional		$190.45	$398.99	$398.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.22 / $348.20 / $494.44	Professional		$210.22	$348.20	$494.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.12 / $400.95 / $601.42	Facility		$292.12	$400.95	$601.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.99 / $503.99 / $755.99	Professional		$419.99	$503.99	$755.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.07 / $477.94 / $755.99	Professional		$332.07	$477.94	$755.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.67 / $496.36 / $900.01	Professional		$384.67	$496.36	$900.01