Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.15 / $1,941.00 / $7,654.84	Facility		$467.15	$1,941.00	$7,654.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $283.08 / $615.44	Professional		$188.59	$283.08	$615.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $212.59 / $287.72	Professional		$109.56	$212.59	$287.72
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 $215.74 / $404.17 / $612.71	Professional		$215.74	$404.17	$612.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.65 / $228.35 / $272.26	Facility		$175.65	$228.35	$272.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $521.05 / $651.33	Professional		$434.22	$521.05	$651.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $538.00 / $1,158.10	Facility		$329.07	$538.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $340.63 / $791.47	Professional		$215.20	$340.63	$791.47
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $3,741.00 / $5,490.00	Facility		$648.00	$3,741.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $450.21 / $832.89	Professional		$221.02	$450.21	$832.89