Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $4,897.79 / $7,244.36	Facility		$144.54	$4,897.79	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $363.08	Professional		$91.20	$165.96	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $346.74	Professional		$120.23	$204.17	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $109.65	Facility		$89.13	$97.72	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $575.44	Facility		$173.78	$281.84	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $371.54	Professional		$109.65	$218.78	$371.54
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 $151.36 / $245.47 / $416.87	Professional		$151.36	$245.47	$416.87