Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.23 / $731.00 / $7,212.00	Facility		$272.23	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $376.81 / $558.66	Professional		$262.95	$376.81	$558.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $319.58 / $319.58	Professional		$319.58	$319.58	$319.58
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 $196.01 / $327.95 / $465.68	Professional		$196.01	$327.95	$465.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.13 / $349.87 / $538.16	Facility		$269.13	$349.87	$538.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.20 / $434.49 / $589.79	Professional		$393.20	$434.49	$589.79
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 $310.12 / $446.33 / $707.76	Professional		$310.12	$446.33	$707.76
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 $359.30 / $463.70 / $823.81	Professional		$359.30	$463.70	$823.81