Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,819.70 / $4,897.79	Facility		$123.03	$1,819.70	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $912.01	Professional		$75.86	$218.78	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $263.03 / $512.86	Professional		$66.07	$263.03	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $269.15	Facility		$128.82	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $389.05 / $1,380.38	Professional		$81.28	$389.05	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $102.33	Facility		$87.10	$89.13	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $616.60 / $1,348.96	Professional		$97.72	$616.60	$1,348.96
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 $89.13 / $562.34 / $1,148.15	Professional		$89.13	$562.34	$1,148.15