Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,047.13 / $5,623.41	Facility		$234.42	$1,047.13	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $436.52	Professional		$141.25	$213.80	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $151.36	Professional		$104.71	$109.65	$151.36
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 $141.25 / $213.80 / $354.81	Professional		$141.25	$213.80	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $407.38	Facility		$169.82	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $346.74	Professional		$151.36	$223.87	$346.74
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 $138.04 / $213.80 / $346.74	Professional		$138.04	$213.80	$346.74