Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $3,801.89 / $5,623.41	Facility		$117.49	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $245.47	Professional		$70.79	$109.65	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $181.97	Professional		$158.49	$158.49	$181.97
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 $60.26 / $70.79 / $120.23	Professional		$60.26	$70.79	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $89.13	Facility		$70.79	$79.43	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $177.83	Facility		$87.10	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $162.18	Professional		$79.43	$112.20	$162.18
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 $69.18 / $100.00 / $173.78	Professional		$69.18	$100.00	$173.78