Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $831.76 / $8,317.64	Facility		$138.04	$831.76	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $389.05	Professional		$100.00	$165.96	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $169.82	Professional		$81.28	$147.91	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $10,964.78	Facility		$3,981.07	$8,317.64	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $186.21	Professional		$95.50	$120.23	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $275.42	Facility		$131.83	$177.83	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $229.09	Professional		$112.20	$158.49	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $6,456.54	Facility		$1,348.96	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $234.42	Professional		$97.72	$141.25	$234.42