Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.62 / $1,225.03 / $7,212.00	Facility		$303.62	$1,225.03	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $391.77 / $1,341.94	Professional		$262.95	$391.77	$1,341.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $237.86 / $237.86	Professional		$237.86	$237.86	$237.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.40 / $379.40 / $732.24	Facility		$379.40	$379.40	$732.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $603.24 / $1,346.12	Professional		$258.50	$603.24	$1,346.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.95 / $308.37 / $367.68	Facility		$241.95	$308.37	$367.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.10 / $1,006.61 / $1,372.65	Professional		$915.10	$1,006.61	$1,372.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.18 / $562.46 / $1,905.90	Professional		$291.18	$562.46	$1,905.90
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.62 / $1,293.08 / $2,193.60	Professional		$975.62	$1,293.08	$2,193.60