Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,862.09 / $5,623.41	Facility		$204.17	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $380.19	Professional		$169.82	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Professional		$204.17	$204.17	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $389.05	Professional		$169.82	$257.04	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $186.21 / $208.93	Facility		$177.83	$186.21	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $446.68	Professional		$186.21	$251.19	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $10,715.19	Facility		$2,691.53	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $354.81	Professional		$165.96	$213.80	$354.81