Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $938.75 / $5,634.00	Facility		$191.18	$938.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $320.69 / $835.21	Professional		$139.09	$320.69	$835.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $183.62 / $619.02	Professional		$183.62	$183.62	$619.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,083.00 / $8,240.00	Facility		$1,042.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $390.04 / $798.10	Professional		$133.47	$390.04	$798.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $192.99 / $230.10	Facility		$148.44	$192.99	$230.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.86 / $724.63 / $905.79	Professional		$603.86	$724.63	$905.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $707.90	Facility		$283.56	$283.56	$707.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $352.57 / $953.91	Professional		$171.66	$352.57	$953.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,817.00 / $5,490.00	Facility		$2,400.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.39 / $713.51 / $1,243.59	Professional		$558.39	$713.51	$1,243.59