Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $731.00 / $6,528.60	Facility		$220.59	$731.00	$6,528.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.59 / $399.75 / $609.79	Professional		$220.59	$399.75	$609.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $264.25 / $264.25	Professional		$213.70	$264.25	$264.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.00 / $5,083.00 / $8,240.00	Facility		$1,510.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $372.83 / $529.41	Professional		$259.13	$372.83	$529.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.27 / $264.25 / $315.07	Facility		$203.27	$264.25	$315.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $518.41 / $648.02	Professional		$432.01	$518.41	$648.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $538.00 / $848.27	Facility		$384.52	$538.00	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $486.18 / $868.48	Professional		$258.32	$486.18	$868.48
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 $409.13 / $511.45 / $859.02	Professional		$409.13	$511.45	$859.02