Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $4,897.79	Facility		$75.86	$158.49	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $229.09	Professional		$64.57	$120.23	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $141.25	Professional		$51.29	$51.29	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $141.25	Facility		$74.13	$74.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $117.49	Professional		$63.10	$75.86	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $79.43	Facility		$54.95	$69.18	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $165.96	Professional		$114.82	$147.91	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $234.42	Professional		$74.13	$134.90	$234.42
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 $66.07 / $125.89 / $229.09	Professional		$66.07	$125.89	$229.09