Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,047.13 / $9,332.54	Facility		$117.49	$1,047.13	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $407.38	Professional		$104.71	$186.21	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $234.42	Professional		$158.49	$158.49	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $8,317.64	Facility		$2,089.30	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $309.03	Professional		$100.00	$141.25	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $123.03	Facility		$104.71	$109.65	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $758.58	Facility		$173.78	$181.97	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $323.59	Professional		$114.82	$186.21	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $5,495.41	Facility		$426.58	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $245.47	Professional		$100.00	$154.88	$245.47