Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.71 / $4,724.60 / $9,116.02	Facility		$220.71	$4,724.60	$9,116.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $202.50 / $353.42	Professional		$188.02	$202.50	$353.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.42 / $240.42 / $240.42	Professional		$240.42	$240.42	$240.42
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 $198.14 / $247.68 / $396.28	Professional		$198.14	$247.68	$396.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.39 / $235.00 / $271.16	Facility		$184.39	$235.00	$271.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $207.89 / $271.16	Professional		$180.77	$207.89	$271.16
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 $190.39 / $253.81 / $415.77	Professional		$190.39	$253.81	$415.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,148.00 / $6,094.00 / $12,090.00	Facility		$2,148.00	$6,094.00	$12,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $229.91 / $388.40	Professional		$189.95	$229.91	$388.40