Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $5,623.41	Facility		$154.88	$239.88	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $331.13	Professional		$117.49	$181.97	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $223.87	Professional		$162.18	$165.96	$223.87
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 $102.33 / $158.49 / $257.04	Professional		$102.33	$158.49	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $151.36	Facility		$128.82	$134.90	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $288.40	Professional		$125.89	$181.97	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $6,456.54	Facility		$1,548.82	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $251.19	Professional		$112.20	$147.91	$251.19