Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,801.89 / $5,623.41	Facility		$128.82	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $309.03	Professional		$79.43	$131.83	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $177.83	Professional		$97.72	$123.03	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $239.88	Professional		$85.11	$134.90	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Facility		$91.20	$91.20	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $229.09	Facility		$97.72	$147.91	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $204.17	Professional		$91.20	$134.90	$204.17
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 $81.28 / $123.03 / $204.17	Professional		$81.28	$123.03	$204.17