Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,071.52 / $5,623.41	Facility		$69.18	$1,071.52	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $162.18	Professional		$38.90	$85.11	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $87.10	Professional		$52.48	$70.79	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $107.15	Professional		$45.71	$63.10	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $72.44	Facility		$61.66	$64.57	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $169.82	Professional		$45.71	$89.13	$169.82
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 $43.65 / $72.44 / $125.89	Professional		$43.65	$72.44	$125.89