Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,467.37 / $5,623.41	Facility		$208.93	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $380.19	Professional		$125.89	$194.98	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $8,317.64	Facility		$2,290.87	$4,466.84	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $316.23	Professional		$123.03	$190.55	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $331.13	Professional		$138.04	$204.17	$331.13
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 / $190.55 / $309.03	Professional		$120.23	$190.55	$309.03