Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,691.53 / $14,454.40	Facility		$218.78	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $501.19	Professional		$147.91	$218.78	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $154.88	Professional		$91.20	$120.23	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,803.84 / $19,054.61	Facility		$2,344.23	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $346.74	Professional		$141.25	$229.09	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Facility		$177.83	$177.83	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $416.87	Facility		$194.98	$275.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $354.81	Professional		$165.96	$234.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $10,715.19	Facility		$2,398.83	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $354.81	Professional		$144.54	$218.78	$354.81