Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $269.15 / $4,897.79	Facility		$64.57	$269.15	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $239.88	Professional		$52.48	$114.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $141.25	Professional		$45.71	$95.50	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $8,317.64	Facility		$1,513.56	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $154.88	Professional		$47.86	$81.28	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $69.18	Facility		$51.29	$61.66	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $141.25	Professional		$102.33	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $186.21	Facility		$60.26	$104.71	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $147.91	Professional		$45.71	$85.11	$147.91