Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,801.89 / $5,623.41	Facility		$165.96	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $363.08	Professional		$107.15	$154.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $275.42	Facility		$141.25	$141.25	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $263.03	Professional		$120.23	$173.78	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $269.15	Professional		$131.83	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $251.19	Professional		$107.15	$158.49	$251.19