Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,818.38 / $6,309.57	Facility		$257.04	$2,818.38	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $524.81	Professional		$204.17	$288.40	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Professional		$165.96	$208.93	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $8,317.64	Facility		$1,995.26	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $676.08	Professional		$208.93	$446.68	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $234.42	Facility		$173.78	$208.93	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $489.78	Professional		$204.17	$223.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $588.84	Professional		$208.93	$302.00	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,715.35 / $6,456.54	Facility		$1,288.25	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $457.09	Professional		$181.97	$275.42	$457.09