Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,380.38 / $4,897.79	Facility		$69.18	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $275.42	Professional		$44.67	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $151.36	Professional		$83.18	$112.20	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $173.78	Professional		$44.67	$79.43	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $66.07	Facility		$47.86	$58.88	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $147.91	Professional		$107.15	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $199.53	Facility		$57.54	$93.33	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $158.49	Professional		$50.12	$83.18	$158.49
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 $43.65 / $81.28 / $151.36	Professional		$43.65	$81.28	$151.36