Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $5,248.07	Facility		$63.10	$162.18	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $223.87	Professional		$52.48	$102.33	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $138.04	Professional		$72.44	$89.13	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $112.20	Facility		$58.88	$58.88	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $95.50	Professional		$51.29	$61.66	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $60.26	Facility		$47.86	$52.48	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $213.80	Facility		$72.44	$117.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $177.83	Professional		$60.26	$107.15	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $7,413.10	Facility		$933.25	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $186.21	Professional		$53.70	$100.00	$186.21