Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $826.76 / $7,212.00	Facility		$430.39	$826.76	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $547.70 / $661.20	Professional		$430.39	$547.70	$661.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.07 / $209.07 / $209.07	Professional		$209.07	$209.07	$209.07
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 $418.95 / $563.69 / $759.40	Professional		$418.95	$563.69	$759.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $628.41 / $845.53 / $1,139.09	Professional	50	$628.41	$845.53	$1,139.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.13 / $559.77 / $972.15	Facility		$418.13	$559.77	$972.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $630.24 / $945.36	Professional		$525.20	$630.24	$945.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $565.00 / $1,375.01	Facility		$420.00	$565.00	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.73 / $602.54 / $981.55	Professional		$434.73	$602.54	$981.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.15 / $632.57 / $1,069.32	Professional		$492.15	$632.57	$1,069.32