Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,862.09 / $5,623.41	Facility		$79.43	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $363.08	Professional		$70.79	$199.53	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
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 $93.33 / $186.21 / $316.23	Professional		$93.33	$186.21	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $81.28	Facility		$69.18	$72.44	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $660.69	Facility		$123.03	$123.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $213.80 / $407.38	Professional		$81.28	$213.80	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,715.35 / $6,456.54	Facility		$758.58	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $316.23	Professional		$69.18	$169.82	$316.23