Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $3,192.98 / $7,848.48	Facility		$132.75	$3,192.98	$7,848.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $136.47 / $304.00	Professional		$125.18	$136.47	$304.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $152.28 / $208.67	Professional		$121.82	$152.28	$208.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $210.66 / $406.57	Facility		$210.66	$210.66	$406.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $204.55 / $289.69	Professional		$130.77	$204.55	$289.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $160.29 / $186.72	Facility		$128.22	$160.29	$186.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $153.88 / $186.72	Professional		$128.22	$153.88	$186.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $174.90 / $278.07	Professional		$136.38	$174.90	$278.07
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $162.38 / $282.05	Professional		$120.30	$162.38	$282.05