Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,380.38 / $5,623.41	Facility		$218.78	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $457.09	Professional		$114.82	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $208.93	Professional		$95.50	$125.89	$208.93
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 $131.83 / $218.78 / $338.84	Professional		$131.83	$218.78	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $204.17	Facility		$151.36	$181.97	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $302.00	Professional		$223.87	$245.47	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $346.74	Professional		$147.91	$218.78	$346.74
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 $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13