Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.78 / $558.78 / $1,128.98	Facility		$558.78	$558.78	$1,128.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $580.27 / $617.22	Professional		$537.29	$580.27	$617.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.66 / $846.74 / $955.00	Professional		$672.66	$846.74	$955.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.89 / $1,010.44 / $1,128.98	Facility		$891.89	$1,010.44	$1,128.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.77 / $613.00 / $845.94	Professional		$550.77	$613.00	$845.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.74 / $1,241.88 / $1,683.09	Facility		$846.74	$1,241.88	$1,683.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $959.63 / $1,241.88 / $1,524.12	Professional		$959.63	$1,241.88	$1,524.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,128.98	Facility		$700.00	$700.00	$1,128.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $1,130.44	Professional		$511.00	$700.00	$1,130.44
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $538.13 / $772.47	Professional		$341.80	$538.13	$772.47