Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $1,659.16 / $6,311.30	Facility		$165.90	$1,659.16	$6,311.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $124.12 / $216.00	Professional		$71.75	$124.12	$216.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $91.55 / $99.12	Professional		$44.25	$91.55	$99.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $135.72 / $222.93	Professional		$86.15	$135.72	$222.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $105.03 / $175.05	Facility		$77.80	$105.03	$175.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $186.41 / $233.01	Professional		$155.34	$186.41	$233.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $146.37 / $273.64	Professional		$86.05	$146.37	$273.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $144.18 / $265.70	Professional		$115.70	$144.18	$265.70