Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $3,801.89 / $16,218.10	Facility		$138.04	$3,801.89	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $316.23	Professional		$107.15	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $11,220.18	Facility		$3,981.07	$8,317.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $288.40	Professional		$134.90	$181.97	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $144.54	Facility		$123.03	$128.82	$144.54
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 $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $10,964.78	Facility		$2,691.53	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $229.09	Professional		$120.23	$154.88	$229.09