Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,801.89 / $5,623.41	Facility		$416.87	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $741.31	Professional		$363.08	$436.52	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $407.38	Professional		$165.96	$323.59	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $19,952.62 / $27,542.29	Facility		$8,317.64	$19,952.62	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $741.31	Professional		$346.74	$478.63	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $416.87	Facility		$354.81	$389.05	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $831.76	Professional		$389.05	$562.34	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $17,378.01	Facility		$4,570.88	$10,715.19	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $812.83	Professional		$354.81	$501.19	$812.83