Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $4,897.79	Facility		$181.97	$323.59	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $389.05	Professional		$144.54	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $154.88	Professional		$117.49	$117.49	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $204.17	Professional		$102.33	$128.82	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $147.91 / $169.82	Facility		$144.54	$147.91	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $457.09	Professional		$138.04	$213.80	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $6,456.54	Facility		$1,230.27	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $323.59	Professional		$128.82	$204.17	$323.59