Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,380.38 / $5,623.41	Facility		$91.20	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $245.47	Professional		$61.66	$131.83	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $245.47	Professional		$66.07	$138.04	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $72.44	Facility		$61.66	$64.57	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $181.97 / $275.42	Facility		$70.79	$181.97	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $288.40	Professional		$70.79	$154.88	$288.40
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 $61.66 / $120.23 / $204.17	Professional		$61.66	$120.23	$204.17