Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.26 / $4,852.14 / $8,121.72	Facility		$157.26	$4,852.14	$8,121.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $337.90 / $477.50	Professional		$130.57	$337.90	$477.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $121.46 / $121.46	Professional		$121.46	$121.46	$121.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $401.80 / $640.96	Professional		$243.52	$401.80	$640.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $166.21 / $463.71	Facility		$130.41	$166.21	$463.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $366.53 / $486.90	Professional		$318.72	$366.53	$486.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $318.99 / $737.62	Professional		$140.79	$318.99	$737.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $531.27 / $758.10	Professional		$344.43	$531.27	$758.10