Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $3,467.37 / $5,623.41	Facility		$77.62	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $134.90	Professional		$46.77	$77.62	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $2,187.76 / $3,388.44	Facility		$57.54	$2,187.76	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $125.89	Professional		$51.29	$77.62	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $151.36	Facility		$60.26	$91.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $123.03	Professional		$56.23	$79.43	$123.03
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 $46.77 / $77.62 / $128.82	Professional		$46.77	$77.62	$128.82