Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.97 / $1,526.22 / $5,246.71	Facility		$216.97	$1,526.22	$5,246.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $164.69 / $287.08	Professional		$78.01	$164.69	$287.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $73.31 / $100.98	Professional		$72.13	$73.31	$100.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $3,399.00 / $6,008.00	Facility		$1,111.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $83.57 / $118.66	Professional		$66.13	$83.57	$118.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $93.07 / $120.22	Facility		$77.56	$93.07	$120.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $227.41 / $296.63	Professional		$197.75	$227.41	$296.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $498.21	Facility		$498.21	$498.21	$498.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $184.19 / $396.75	Professional		$93.73	$184.19	$396.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $293.30 / $494.22	Professional		$226.44	$293.30	$494.22