Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $676.08 / $4,897.79	Facility		$36.31	$676.08	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $134.90	Professional		$30.20	$70.79	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $48.98	Professional		$19.05	$27.54	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $8,709.64	Facility		$1,513.56	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $123.03	Professional		$32.36	$77.62	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $50.12	Facility		$30.20	$38.90	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $114.82	Professional		$74.13	$91.20	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $154.88	Professional		$34.67	$63.10	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,137.96 / $5,754.40	Facility		$338.84	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $114.82	Professional		$32.36	$51.29	$114.82