Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.41 / $3,130.68 / $9,136.37	Facility		$281.41	$3,130.68	$9,136.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $397.04 / $1,267.94	Professional		$254.86	$397.04	$1,267.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $203.06 / $330.33	Professional		$126.91	$203.06	$330.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.00 / $386.00 / $744.98	Facility		$386.00	$386.00	$744.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.02 / $598.29 / $1,353.25	Professional		$264.02	$598.29	$1,353.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $396.03 / $897.45 / $2,029.88	Professional	50	$396.03	$897.45	$2,029.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.71 / $305.68 / $491.27	Facility		$222.71	$305.68	$491.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.75 / $884.69 / $1,273.95	Professional		$707.75	$884.69	$1,273.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.51 / $559.95 / $1,716.62	Professional		$280.51	$559.95	$1,716.62
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 $755.90 / $1,063.20 / $1,857.33	Professional		$755.90	$1,063.20	$1,857.33