Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.86 / $1,386.00 / $5,634.00	Facility		$439.86	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.79 / $461.84 / $520.89	Professional		$354.79	$461.84	$520.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $208.12	Professional		$208.12	$208.12	$208.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.97 / $462.00 / $622.40	Professional		$336.97	$462.00	$622.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.25 / $557.25 / $842.91	Facility		$416.25	$557.25	$842.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.25 / $520.30 / $749.25	Professional		$416.25	$520.30	$749.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $450.00 / $1,627.38	Facility		$356.73	$450.00	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $488.70 / $773.05	Professional		$337.66	$488.70	$773.05
United Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $2,252.00 / $4,426.00	Facility		$258.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $452.76 / $760.46	Professional		$340.85	$452.76	$760.46