Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,737.80 / $4,466.84	Facility		$154.88	$1,737.80	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $537.03	Professional		$102.33	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $141.25	Professional		$77.62	$102.33	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $288.40 / $1,122.02	Professional		$107.15	$288.40	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $141.25	Facility		$102.33	$128.82	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $398.11	Professional		$288.40	$316.23	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $323.59 / $933.25	Facility		$114.82	$323.59	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $891.25	Professional		$117.49	$281.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $4,265.80	Facility		$512.86	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $812.83	Professional		$109.65	$251.19	$812.83