Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $5,623.41	Facility		$194.98	$309.03	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $288.40	Professional		$141.25	$190.55	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $190.55	Facility		$162.18	$165.96	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $426.58	Facility		$186.21	$263.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $407.38	Professional		$165.96	$245.47	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $6,456.54	Facility		$1,412.54	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $338.84	Professional		$151.36	$218.78	$338.84