Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,380.38 / $5,623.41	Facility		$125.89	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $245.47	Professional		$107.15	$151.36	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $223.87	Professional		$128.82	$177.83	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $269.15	Professional		$93.33	$158.49	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $128.82	Facility		$107.15	$112.20	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $302.00	Professional		$117.49	$173.78	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,137.96 / $5,754.40	Facility		$257.04	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $251.19	Professional		$112.20	$154.88	$251.19