Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $5,623.41	Facility		$63.10	$162.18	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $223.87	Professional		$64.57	$109.65	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $120.23	Professional		$75.86	$102.33	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $131.83	Professional		$57.54	$85.11	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $97.72	Facility		$72.44	$87.10	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $114.82	Professional		$85.11	$93.33	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $141.25	Professional		$63.10	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $128.82	Professional		$57.54	$79.43	$128.82