Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $2,270.21 / $5,655.55	Facility		$108.49	$2,270.21	$5,655.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $189.09 / $303.14	Professional		$104.01	$189.09	$303.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $149.33 / $285.33	Professional		$84.70	$149.33	$285.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $141.19 / $248.87	Professional		$78.86	$141.19	$248.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.55 / $129.41 / $266.48	Facility		$99.55	$129.41	$266.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $218.28 / $285.33	Professional		$190.22	$218.28	$285.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $402.00 / $881.00	Facility		$181.76	$402.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $200.00 / $351.78	Professional		$111.95	$200.00	$351.78
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $221.91 / $376.51	Professional		$172.36	$221.91	$376.51