Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $2,370.62 / $5,646.19	Facility		$180.48	$2,370.62	$5,646.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $249.37 / $391.12	Professional		$155.62	$249.37	$391.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $166.19	Professional		$155.16	$155.16	$166.19
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 $143.21 / $210.12 / $325.77	Professional		$143.21	$210.12	$325.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $204.69 / $384.29	Facility		$157.44	$204.69	$384.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $318.00 / $418.25	Professional		$278.83	$318.00	$418.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $761.00 / $1,873.52	Facility		$296.35	$761.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $286.58 / $495.83	Professional		$179.68	$286.58	$495.83
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 $234.26 / $304.24 / $610.91	Professional		$234.26	$304.24	$610.91