Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,584.89 / $5,888.44	Facility		$158.49	$1,584.89	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $467.74	Professional		$128.82	$245.47	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $151.36 / $338.84	Professional		$56.23	$151.36	$338.84
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 $147.91 / $288.40 / $446.68	Professional		$147.91	$288.40	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $169.82	Facility		$125.89	$147.91	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $316.23	Professional		$229.09	$269.15	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $630.96	Professional		$141.25	$281.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,715.35 / $6,456.54	Facility		$1,445.44	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $407.38	Professional		$131.83	$229.09	$407.38