Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $281.84 / $4,897.79	Facility		$102.33	$281.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $416.87	Professional		$147.91	$251.19	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $323.59	Professional		$169.82	$223.87	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $269.15	Facility		$138.04	$138.04	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $245.47	Professional		$128.82	$151.36	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $234.42	Facility		$162.18	$204.17	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $338.84	Professional		$239.88	$263.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $371.54	Facility		$134.90	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $371.54	Professional		$134.90	$204.17	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $295.12	Professional		$128.82	$169.82	$295.12