Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $379.86 / $11,093.00	Facility		$179.16	$379.86	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $296.57 / $446.51	Professional		$173.63	$296.57	$446.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.04 / $281.04 / $463.25	Professional		$281.04	$281.04	$463.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $254.85 / $618.66	Professional		$150.19	$254.85	$618.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.77 / $213.82 / $429.99	Facility		$167.77	$213.82	$429.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $370.60 / $463.25	Professional		$308.83	$370.60	$463.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $274.39 / $274.39	Facility		$274.39	$274.39	$274.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $374.90 / $710.31	Professional		$209.93	$374.90	$710.31
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 $304.98 / $392.28 / $642.73	Professional		$304.98	$392.28	$642.73