Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $3,801.89 / $5,623.41	Facility		$141.25	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $741.31 / $1,862.09	Professional		$138.04	$741.31	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,454.40 / $19,498.45	Facility		$6,456.54	$14,454.40	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $524.81	Professional		$223.87	$346.74	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $446.68 / $562.34	Facility		$177.83	$446.68	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $912.01 / $1,778.28	Professional		$154.88	$912.01	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $10,964.78	Facility		$2,691.53	$7,413.10	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $954.99 / $1,819.70	Professional		$147.91	$954.99	$1,819.70