Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.74 / $697.74 / $1,409.73	Facility		$697.74	$697.74	$1,409.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.90 / $724.57 / $764.83	Professional		$670.90	$724.57	$764.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $986.81 / $986.81 / $986.81	Professional		$986.81	$986.81	$986.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.69 / $1,261.71 / $1,409.73	Facility		$1,113.69	$1,261.71	$1,409.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $837.38 / $1,155.58	Professional		$659.13	$837.38	$1,155.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.75 / $1,550.70 / $2,114.60	Facility		$1,079.75	$1,550.70	$2,114.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.27 / $1,550.70 / $1,903.14	Professional		$1,198.27	$1,550.70	$1,903.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,409.73	Facility		$829.42	$840.60	$1,409.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $1,384.41	Professional		$613.64	$840.60	$1,384.41
United Facility/Professional Professional Modifier Low / Median / High Price $418.58 / $673.94 / $946.01	Professional		$418.58	$673.94	$946.01