Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.07 / $1,386.00 / $5,634.00	Facility		$260.07	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $272.61 / $316.22	Professional		$250.18	$272.61	$316.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $226.23 / $242.14	Professional		$226.23	$226.23	$242.14
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 $222.53 / $281.33 / $379.02	Professional		$222.53	$281.33	$379.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.10 / $316.23 / $342.02	Facility		$217.10	$316.23	$342.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.25 / $291.89 / $359.12	Professional		$243.25	$291.89	$359.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $296.49 / $458.21	Professional		$263.31	$296.49	$458.21
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $270.45 / $448.62	Professional		$206.63	$270.45	$448.62