Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,096.48 / $5,623.41	Facility		$100.00	$1,096.48	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $239.88 / $954.99	Professional		$67.61	$239.88	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $87.10	Professional		$53.70	$87.10	$87.10
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 $61.66 / $151.36 / $691.83	Professional		$61.66	$151.36	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $79.43	Facility		$67.61	$69.18	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $758.58 / $1,148.15	Facility		$120.23	$758.58	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $1,000.00	Professional		$77.62	$194.98	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $6,456.54	Facility		$1,412.54	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $398.11 / $794.33	Professional		$69.18	$398.11	$794.33