Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $812.83 / $3,715.35	Facility		$74.13	$812.83	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $288.40	Professional		$61.66	$128.82	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $165.96	Professional		$58.88	$66.07	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,265.80 / $8,317.64	Facility		$1,479.11	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $245.47	Professional		$66.07	$158.49	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $83.18	Facility		$56.23	$66.07	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $181.97	Professional		$128.82	$169.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $354.81	Facility		$91.20	$177.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $239.88	Professional		$69.18	$134.90	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $4,265.80	Facility		$575.44	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $223.87	Professional		$61.66	$123.03	$223.87