Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,801.89 / $5,623.41	Facility		$371.54	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $512.86	Professional		$208.93	$245.47	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $8,317.64	Facility		$1,995.26	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $380.19	Professional		$154.88	$213.80	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $234.42 / $269.15	Facility		$213.80	$234.42	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $512.86	Facility		$239.88	$331.13	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $436.52	Professional		$223.87	$281.84	$436.52
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 $194.98 / $251.19 / $436.52	Professional		$194.98	$251.19	$436.52