Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $473.93 / $7,212.00	Facility		$164.81	$473.93	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $260.47 / $560.16	Professional		$164.81	$260.47	$560.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $199.24 / $199.24	Professional		$199.24	$199.24	$199.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,117.00 / $8,240.00	Facility		$2,234.00	$5,117.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $352.80 / $557.16	Professional		$186.91	$352.80	$557.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.22 / $197.83 / $550.11	Facility		$155.22	$197.83	$550.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $473.93 / $592.41	Professional		$394.94	$473.93	$592.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $538.00 / $1,158.10	Facility		$286.80	$538.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.18 / $316.45 / $724.20	Professional		$187.18	$316.45	$724.20
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.85 / $407.49 / $753.86	Professional		$195.85	$407.49	$753.86