Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,467.37 / $5,623.41	Facility		$165.96	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $239.88	Professional		$66.07	$141.25	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $11,220.18	Facility		$3,981.07	$8,317.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $416.87	Professional		$81.28	$194.98	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $79.43	Facility		$67.61	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $346.74	Professional		$81.28	$181.97	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $4,265.80	Facility		$1,348.96	$2,884.03	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $257.04	Professional		$67.61	$141.25	$257.04