Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $4,161.60 / $9,442.79	Facility		$81.44	$4,161.60	$9,442.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $99.65 / $186.46	Professional		$67.87	$99.65	$186.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $103.95 / $103.95	Professional		$44.18	$103.95	$103.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $97.46 / $155.77	Professional		$66.33	$97.46	$155.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $98.49 / $157.32	Facility		$67.62	$98.49	$157.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $137.08 / $165.18	Professional		$114.23	$137.08	$165.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.88 / $114.88 / $114.88	Facility		$114.88	$114.88	$114.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $116.62 / $179.92	Professional		$77.73	$116.62	$179.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $122.25 / $197.41	Professional		$94.57	$122.25	$197.41