Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,089.30 / $8,128.31	Facility		$269.15	$2,089.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $407.38	Professional		$173.78	$229.09	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $2,511.89	Professional		$190.55	$204.17	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $389.05	Professional		$173.78	$257.04	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $213.80	Facility		$181.97	$186.21	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $389.05	Facility		$194.98	$288.40	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $467.74	Professional		$190.55	$245.47	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $10,715.19	Facility		$2,691.53	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $354.81	Professional		$165.96	$213.80	$354.81