Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,380.38 / $4,897.79	Facility		$85.11	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $275.42	Professional		$52.48	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $114.82	Professional		$56.23	$104.71	$114.82
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 $57.54 / $95.50 / $169.82	Professional		$57.54	$95.50	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $63.10	Facility		$61.66	$61.66	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $229.09	Facility		$69.18	$120.23	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $177.83	Professional		$61.66	$102.33	$177.83
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 $56.23 / $100.00 / $186.21	Professional		$56.23	$100.00	$186.21