Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $125.89 / $4,897.79	Facility		$44.67	$125.89	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $123.03	Professional		$38.02	$69.18	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $177.83	Professional		$44.67	$87.10	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $40.74 / $45.71	Facility		$38.90	$40.74	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $158.49	Professional		$41.69	$75.86	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,137.96 / $5,754.40	Facility		$107.15	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $112.20	Professional		$38.90	$66.07	$112.20