Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $218.78 / $1,047.13	Facility		$70.79	$218.78	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $169.82	Professional		$45.71	$77.62	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $93.33	Professional		$33.11	$63.10	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,466.84 / $8,709.64	Facility		$501.19	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $141.25	Professional		$52.48	$87.10	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $134.90	Facility		$61.66	$87.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $147.91	Professional		$53.70	$87.10	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $117.49	Professional		$46.77	$70.79	$117.49