Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,380.38 / $6,309.57	Facility		$147.91	$1,380.38	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $446.68	Professional		$102.33	$181.97	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $218.78	Professional		$70.79	$93.33	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $8,912.51	Facility		$2,290.87	$4,466.84	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $281.84	Professional		$120.23	$186.21	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $190.55	Facility		$141.25	$169.82	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $245.47	Professional		$177.83	$199.53	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $316.23	Facility		$151.36	$199.53	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $275.42	Professional		$128.82	$186.21	$275.42
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 $120.23 / $169.82 / $281.84	Professional		$120.23	$169.82	$281.84