Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $870.96 / $7,413.10	Facility		$97.72	$870.96	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $323.59	Professional		$81.28	$165.96	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $169.82	Professional		$70.79	$77.62	$169.82
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 $91.20 / $173.78 / $363.08	Professional		$91.20	$173.78	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $93.33	Facility		$79.43	$83.18	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $194.98 / $363.08	Facility		$95.50	$194.98	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $331.13	Professional		$91.20	$169.82	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $6,456.54	Facility		$1,348.96	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $245.47	Professional		$81.28	$144.54	$245.47