Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $977.24 / $5,623.41	Facility		$123.03	$977.24	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $338.84	Professional		$87.10	$154.88	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $169.82	Professional		$52.48	$104.71	$169.82
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 $89.13 / $141.25 / $245.47	Professional		$89.13	$141.25	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $134.90	Facility		$100.00	$120.23	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $194.98	Professional		$141.25	$154.88	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $251.19	Facility		$109.65	$154.88	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $208.93	Professional		$93.33	$138.04	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,137.96 / $5,754.40	Facility		$331.13	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $213.80	Professional		$85.11	$128.82	$213.80