Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $3,801.89 / $5,623.41	Facility		$83.18	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $190.55	Professional		$67.61	$89.13	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $100.00	Professional		$64.57	$77.62	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $18,620.87 / $26,302.68	Facility		$9,549.93	$18,620.87	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $162.18	Professional		$60.26	$107.15	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $97.72	Facility		$70.79	$85.11	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $97.72	Professional		$67.61	$83.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $208.93	Facility		$75.86	$123.03	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $234.42	Professional		$67.61	$95.50	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $138.04	Professional		$72.44	$89.13	$138.04