Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $389.05 / $5,623.41	Facility		$46.77	$389.05	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $263.03	Professional		$47.86	$83.18	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $114.82	Professional		$64.57	$83.18	$114.82
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 $53.70 / $89.13 / $173.78	Professional		$53.70	$89.13	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Facility		$54.95	$54.95	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $169.82	Facility		$61.66	$107.15	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $141.25	Professional		$57.54	$95.50	$141.25
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 $50.12 / $87.10 / $134.90	Professional		$50.12	$87.10	$134.90