Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,698.24 / $5,623.41	Facility		$223.87	$1,698.24	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $1,584.89	Professional		$138.04	$309.03	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $281.84	Professional		$87.10	$158.49	$281.84
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 $173.78 / $363.08 / $1,380.38	Professional		$173.78	$363.08	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $218.78	Facility		$141.25	$181.97	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,412.54	Professional		$954.99	$1,122.02	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $537.03 / $1,148.15	Facility		$257.04	$537.03	$1,148.15
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $1,778.28	Professional		$169.82	$309.03	$1,778.28
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 $144.54 / $229.09 / $1,348.96	Professional		$144.54	$229.09	$1,348.96