Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,801.89 / $5,623.41	Facility		$190.55	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $467.74	Professional		$117.49	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $257.04 / $575.44	Professional		$104.71	$257.04	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $234.42	Professional		$89.13	$144.54	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $138.04	Facility		$117.49	$123.03	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $398.11	Facility		$131.83	$204.17	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $398.11	Professional		$117.49	$204.17	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $6,456.54	Facility		$977.24	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $302.00	Professional		$107.15	$177.83	$302.00