Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,819.70 / $4,897.79	Facility		$109.65	$1,819.70	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $323.59	Professional		$83.18	$190.55	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $134.90	Professional		$74.13	$89.13	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $8,317.64	Facility		$1,819.70	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $309.03	Professional		$93.33	$181.97	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $112.20	Facility		$95.50	$97.72	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $407.38	Professional		$109.65	$245.47	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $6,456.54	Facility		$1,348.96	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $363.08	Professional		$100.00	$199.53	$363.08