Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.88 / $4,048.77 / $7,212.00	Facility		$194.88	$4,048.77	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $212.28 / $298.07	Professional		$194.88	$212.28	$298.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $180.02 / $284.24	Professional		$180.02	$180.02	$284.24
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 $222.61 / $279.10 / $385.15	Professional		$222.61	$279.10	$385.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.28 / $246.34 / $284.24	Facility		$193.28	$246.34	$284.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $227.39 / $284.24	Professional		$189.49	$227.39	$284.24
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 $201.99 / $281.25 / $450.04	Professional		$201.99	$281.25	$450.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,462.00 / $3,870.00 / $6,474.00	Facility		$2,462.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.84 / $244.70 / $410.50	Professional		$202.84	$244.70	$410.50