Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,584.89 / $7,079.46	Facility		$204.17	$1,584.89	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $933.25	Professional		$169.82	$331.13	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $218.78	Professional		$151.36	$190.55	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $776.25	Professional		$177.83	$389.05	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $194.98	Facility		$165.96	$173.78	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $1,047.13	Facility		$194.98	$363.08	$1,047.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $933.25	Professional		$186.21	$338.84	$933.25
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 $165.96 / $263.03 / $758.58	Professional		$165.96	$263.03	$758.58