Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.88 / $2,232.36 / $7,077.17	Facility		$116.88	$2,232.36	$7,077.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $264.88 / $371.12	Professional		$116.88	$264.88	$371.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $112.98 / $162.18	Professional		$53.43	$112.98	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $216.61 / $348.01	Professional		$110.12	$216.61	$348.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $140.56 / $367.63	Facility		$110.28	$140.56	$367.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $318.70 / $398.39	Professional		$265.58	$318.70	$398.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $402.00 / $848.27	Facility		$202.46	$402.00	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $271.29 / $501.66	Professional		$138.30	$271.29	$501.66
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 $247.55 / $328.29 / $544.97	Professional		$247.55	$328.29	$544.97