Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,344.23 / $5,623.41	Facility		$43.65	$2,344.23	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $338.84	Professional		$72.44	$134.90	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $199.53	Professional		$66.07	$123.03	$199.53
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 $74.13 / $123.03 / $204.17	Professional		$74.13	$123.03	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $112.20	Facility		$83.18	$100.00	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $186.21	Professional		$134.90	$147.91	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $223.87	Professional		$87.10	$131.83	$223.87
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 $74.13 / $117.49 / $199.53	Professional		$74.13	$117.49	$199.53