Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $2,004.23 / $5,084.21	Facility		$741.00	$2,004.23	$5,084.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $880.40	Professional		$733.67	$741.00	$880.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $734.15 / $734.15 / $734.15	Professional		$734.15	$734.15	$734.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $1,467.34 / $1,775.48	Facility		$733.67	$1,467.34	$1,775.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $733.67 / $1,012.45	Professional		$733.66	$733.67	$1,012.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $807.04 / $1,100.51	Facility		$733.67	$807.04	$1,100.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.15 / $990.45	Professional		$733.67	$734.15	$990.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $733.67 / $913.98	Facility		$733.67	$733.67	$913.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $830.56	Professional		$733.67	$733.67	$830.56
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $980.04	Professional		$733.67	$777.69	$980.04