Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.94 / $594.23 / $5,634.00	Facility		$176.94	$594.23	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $412.87 / $678.74	Professional		$167.87	$412.87	$678.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $216.10 / $470.11	Professional		$216.10	$216.10	$470.11
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 $132.77 / $276.82 / $529.24	Professional		$132.77	$276.82	$529.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $216.10 / $682.02	Facility		$166.23	$216.10	$682.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.19 / $594.23 / $742.79	Professional		$495.19	$594.23	$742.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $402.00 / $1,873.52	Facility		$310.67	$402.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $383.32 / $880.65	Professional		$189.87	$383.32	$880.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.14 / $572.04 / $969.40	Professional		$434.14	$572.04	$969.40