Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,801.89 / $5,623.41	Facility		$144.54	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $245.47	Professional		$91.20	$144.54	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $8,317.64	Facility		$2,089.30	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $165.96	Professional		$85.11	$100.00	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $112.20	Facility		$89.13	$97.72	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $281.84	Facility		$112.20	$177.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $229.09	Professional		$104.71	$165.96	$229.09
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 $93.33 / $151.36 / $269.15	Professional		$93.33	$151.36	$269.15