Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.54 / $499.54 / $1,009.29	Facility		$499.54	$499.54	$1,009.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.33 / $518.75 / $604.79	Professional		$480.33	$518.75	$604.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $756.97 / $1,040.00	Professional		$567.73	$756.97	$1,040.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.34 / $903.31 / $1,009.29	Facility		$797.34	$903.31	$1,009.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $557.09 / $768.78	Professional		$492.35	$557.09	$768.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.99 / $1,110.22 / $1,513.94	Facility		$850.99	$1,110.22	$1,513.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.90 / $1,110.22 / $1,362.54	Professional		$857.90	$1,110.22	$1,362.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,009.29	Facility		$632.51	$632.51	$1,009.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,012.91	Professional		$461.73	$632.51	$1,012.91
United Facility/Professional Professional Modifier Low / Median / High Price $306.26 / $499.03 / $692.16	Professional		$306.26	$499.03	$692.16