Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $891.25 / $5,623.41	Facility		$190.55	$891.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $436.52	Professional		$131.83	$204.17	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $354.81	Professional		$123.03	$128.82	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $8,317.64	Facility		$1,995.26	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $245.47	Professional		$120.23	$162.18	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $154.88	Facility		$131.83	$138.04	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $338.84	Facility		$151.36	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Professional		$141.25	$204.17	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,137.96 / $5,495.41	Facility		$194.98	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Professional		$125.89	$177.83	$275.42