Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.57 / $731.00 / $8,313.69	Facility		$338.57	$731.00	$8,313.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $455.77 / $657.48	Professional		$322.25	$455.77	$657.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.83 / $318.98 / $318.98	Professional		$251.83	$318.98	$318.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $426.09 / $605.04	Professional		$284.85	$426.09	$605.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.77 / $436.50 / $651.86	Facility		$335.77	$436.50	$651.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $575.41 / $719.28	Professional		$479.52	$575.41	$719.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.81 / $541.54 / $863.14	Professional		$387.81	$541.54	$863.14
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 $415.60 / $543.95 / $968.55	Professional		$415.60	$543.95	$968.55