Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,467.37 / $7,244.36	Facility		$208.93	$3,467.37	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $354.81	Professional		$138.04	$194.98	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
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 $141.25 / $229.09 / $380.19	Professional		$141.25	$229.09	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $162.18	Facility		$138.04	$141.25	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $426.58	Professional		$144.54	$223.87	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $10,715.19	Facility		$1,698.24	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $316.23	Professional		$134.90	$194.98	$316.23