Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $281.84 / $7,244.36	Facility		$123.03	$281.84	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $354.81	Professional		$91.20	$151.36	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $213.80	Professional		$107.15	$131.83	$213.80
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 $95.50 / $141.25 / $245.47	Professional		$95.50	$141.25	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $141.25	Facility		$102.33	$123.03	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $199.53	Professional		$144.54	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $239.88	Professional		$107.15	$151.36	$239.88
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 $89.13 / $134.90 / $223.87	Professional		$89.13	$134.90	$223.87