Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,897.79 / $7,762.47	Facility		$234.42	$4,897.79	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $676.08	Professional		$208.93	$295.12	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $288.40	Professional		$125.89	$208.93	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,803.84 / $19,054.61	Facility		$2,187.76	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $741.31	Professional		$309.03	$501.19	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $239.88	Facility		$204.17	$213.80	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $741.31	Professional		$218.78	$389.05	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,762.47 / $10,964.78	Facility		$2,630.27	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $562.34	Professional		$199.53	$354.81	$562.34