Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.37 / $2,376.86 / $9,821.87	Facility		$256.37	$2,376.86	$9,821.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.89 / $370.31 / $588.00	Professional		$224.89	$370.31	$588.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.75 / $286.31 / $452.07	Professional		$200.75	$286.31	$452.07
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 $187.31 / $356.88 / $969.93	Professional		$187.31	$356.88	$969.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.31 / $274.70 / $327.52	Facility		$211.31	$274.70	$327.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.38 / $345.83 / $435.88	Professional		$301.38	$345.83	$435.88
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 $235.60 / $428.50 / $1,052.56	Professional		$235.60	$428.50	$1,052.56
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 $346.37 / $512.36 / $758.40	Professional		$346.37	$512.36	$758.40