Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $316.23 / $12,302.69	Facility		$131.83	$316.23	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $380.19	Professional		$109.65	$204.17	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $190.55	Professional		$100.00	$128.82	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $269.15	Professional		$100.00	$154.88	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $128.82	Facility		$109.65	$114.82	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $758.58	Facility		$190.55	$190.55	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $346.74	Professional		$117.49	$199.53	$346.74
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 $102.33 / $162.18 / $263.03	Professional		$102.33	$162.18	$263.03