Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $1,830.00 / $4,945.70	Facility		$128.41	$1,830.00	$4,945.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $161.69 / $446.11	Professional		$70.88	$161.69	$446.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $69.15 / $86.44	Professional		$69.15	$69.15	$86.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $2,956.00 / $5,608.00	Facility		$1,399.00	$2,956.00	$5,608.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $323.76 / $547.20	Professional		$73.00	$323.76	$547.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $102.59 / $170.99	Facility		$75.98	$102.59	$170.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.16 / $381.79 / $477.24	Professional		$318.16	$381.79	$477.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $1,830.00 / $1,830.00	Facility		$1,830.00	$1,830.00	$1,830.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $404.14 / $737.21	Professional		$97.91	$404.14	$737.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.99 / $538.71 / $820.64	Professional		$428.99	$538.71	$820.64