Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,897.79 / $11,220.18	Facility		$316.23	$4,897.79	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $676.08	Professional		$257.04	$338.84	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $18,197.01 / $26,302.68	Facility		$4,365.16	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $549.54	Professional		$223.87	$363.08	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $309.03	Facility		$263.03	$275.42	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $537.03	Facility		$275.42	$416.87	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $537.03	Professional		$234.42	$346.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $10,715.19	Facility		$2,137.96	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $436.52	Professional		$218.78	$281.84	$436.52