Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $5,623.41	Facility		$100.00	$1,148.15	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $263.03	Professional		$70.79	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $147.91	Professional		$51.29	$89.13	$147.91
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 $66.07 / $112.20 / $199.53	Professional		$66.07	$112.20	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $107.15	Facility		$85.11	$95.50	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $154.88	Professional		$114.82	$128.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $204.17	Professional		$77.62	$123.03	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $4,265.80	Facility		$588.84	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $173.78	Professional		$66.07	$102.33	$173.78