Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,801.89 / $5,623.41	Facility		$186.21	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $338.84	Professional		$123.03	$194.98	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $245.47	Professional		$114.82	$158.49	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $1,621.81	Facility		$218.78	$354.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $316.23	Professional		$125.89	$186.21	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,630.78 / $6,456.54	Facility		$912.01	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $295.12	Professional		$120.23	$181.97	$295.12