Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,467.37 / $5,623.41	Facility		$131.83	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $338.84	Professional		$77.62	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
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 $69.18 / $81.28 / $158.49	Professional		$69.18	$81.28	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $100.00	Facility		$81.28	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $218.78 / $416.87	Facility		$97.72	$218.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $295.12	Professional		$89.13	$173.78	$295.12
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 $77.62 / $154.88 / $288.40	Professional		$77.62	$154.88	$288.40