Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,801.89 / $5,623.41	Facility		$436.52	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $616.60	Professional		$234.42	$281.84	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $407.38	Professional		$199.53	$234.42	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $309.03	Facility		$245.47	$269.15	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Facility		$173.78	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $512.86	Professional		$245.47	$309.03	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $467.74	Professional		$208.93	$269.15	$467.74