Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.13 / $784.80 / $16,042.00	Facility		$256.13	$784.80	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $302.89 / $622.38	Professional		$256.13	$302.89	$622.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.18 / $267.18 / $414.13	Professional		$267.18	$267.18	$414.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.42 / $264.02 / $555.79	Professional		$224.42	$264.02	$555.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $332.15 / $530.04	Facility		$248.10	$332.15	$530.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.18 / $333.98 / $480.93	Professional		$267.18	$333.98	$480.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.68 / $356.73 / $451.32	Facility		$205.68	$356.73	$451.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $574.52 / $875.24	Professional		$303.41	$574.52	$875.24
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $431.92 / $847.65	Professional		$271.45	$431.92	$847.65