Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $4,897.79	Facility		$63.10	$123.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $169.82	Professional		$51.29	$95.50	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $72.44	Professional		$25.12	$46.77	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $8,317.64	Facility		$2,089.30	$4,466.84	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $144.54	Professional		$51.29	$89.13	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $60.26	Facility		$51.29	$53.70	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $758.58	Facility		$85.11	$89.13	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $199.53	Professional		$57.54	$104.71	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $4,265.80	Facility		$588.84	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $147.91	Professional		$51.29	$89.13	$147.91