Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,467.37 / $5,623.41	Facility		$213.80	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $331.13	Professional		$114.82	$147.91	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $199.53	Professional		$134.90	$141.25	$199.53
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 $85.11 / $117.49 / $199.53	Professional		$85.11	$117.49	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $147.91	Facility		$117.49	$128.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Facility		$134.90	$134.90	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $251.19	Professional		$123.03	$154.88	$251.19
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 $107.15 / $138.04 / $239.88	Professional		$107.15	$138.04	$239.88