Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,801.89 / $12,022.64	Facility		$223.87	$3,801.89	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $630.96	Professional		$134.90	$323.59	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $512.86	Professional		$173.78	$173.78	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $239.88	Professional		$87.10	$117.49	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $165.96	Facility		$131.83	$147.91	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $794.33	Facility		$162.18	$398.11	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $588.84	Professional		$151.36	$288.40	$588.84
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 $131.83 / $302.00 / $602.56	Professional		$131.83	$302.00	$602.56