Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $954.99 / $5,888.44	Facility		$295.12	$954.99	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $616.60 / $1,096.48	Professional		$251.19	$616.60	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $323.59	Professional		$218.78	$257.04	$323.59
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 $281.84 / $457.09 / $707.95	Professional		$281.84	$457.09	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $288.40	Facility		$245.47	$257.04	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $851.14	Facility		$436.52	$436.52	$851.14
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $1,202.26	Professional		$269.15	$588.84	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $6,456.54	Facility		$977.24	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $933.25	Professional		$251.19	$562.34	$933.25