Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $873.65 / $7,212.00	Facility		$292.86	$873.65	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $400.77 / $578.73	Professional		$280.19	$400.77	$578.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $432.90 / $461.76	Professional		$274.17	$432.90	$461.76
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 $215.41 / $365.00 / $518.29	Professional		$215.41	$365.00	$518.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $404.04 / $606.05	Facility		$306.64	$404.04	$606.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $518.05 / $746.01	Professional		$414.45	$518.05	$746.01
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 $325.77 / $472.54 / $753.48	Professional		$325.77	$472.54	$753.48
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 $385.87 / $507.40 / $901.34	Professional		$385.87	$507.40	$901.34