Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,380.38 / $7,244.36	Facility		$79.43	$1,380.38	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $426.58	Professional		$70.79	$186.21	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $125.89	Professional		$63.10	$97.72	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $8,317.64	Facility		$2,089.30	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $257.04	Professional		$66.07	$131.83	$257.04
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 $81.28 / $199.53 / $389.05	Facility		$81.28	$199.53	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $338.84	Professional		$77.62	$190.55	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $6,456.54	Facility		$794.33	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $275.42	Professional		$70.79	$158.49	$275.42