Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,801.89 / $5,623.41	Facility		$162.18	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $323.59	Professional		$97.72	$154.88	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $162.18	Professional		$125.89	$147.91	$162.18
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 $104.71 / $158.49 / $257.04	Professional		$104.71	$158.49	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $288.40	Facility		$131.83	$186.21	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $288.40	Professional		$104.71	$162.18	$288.40
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 $102.33 / $151.36 / $251.19	Professional		$102.33	$151.36	$251.19