Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,041.74 / $6,760.83	Facility		$257.04	$2,041.74	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $630.96	Professional		$169.82	$354.81	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $239.88	Professional		$75.86	$177.83	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $8,317.64	Facility		$2,344.23	$4,466.84	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $524.81	Professional		$190.55	$346.74	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $199.53	Facility		$169.82	$173.78	$199.53
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 $295.12 / $537.03 / $676.08	Facility		$295.12	$537.03	$676.08
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $645.65	Professional		$186.21	$338.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $6,456.54	Facility		$794.33	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $489.78	Professional		$165.96	$263.03	$489.78