Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Facility		$93.33	$93.33	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $169.82	Professional		$72.44	$93.33	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $186.21	Professional		$107.15	$128.82	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Facility		$83.18	$87.10	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $204.17	Facility		$87.10	$141.25	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $251.19	Professional		$89.13	$109.65	$251.19
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 $83.18 / $107.15 / $158.49	Professional		$83.18	$107.15	$158.49