Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $5,623.41	Facility		$144.54	$416.87	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $524.81	Professional		$128.82	$239.88	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $316.23	Professional		$177.83	$223.87	$316.23
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 $128.82 / $199.53 / $371.54	Professional		$128.82	$199.53	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $194.98	Facility		$141.25	$169.82	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $323.59	Professional		$234.42	$263.03	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $416.87	Facility		$169.82	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $331.13	Professional		$141.25	$204.17	$331.13
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 $125.89 / $199.53 / $338.84	Professional		$125.89	$199.53	$338.84