Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,897.79 / $7,244.36	Facility		$208.93	$4,897.79	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $389.05	Professional		$141.25	$229.09	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Professional		$208.93	$208.93	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $251.19 / $398.11	Professional	50	$194.98	$251.19	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $426.58	Facility		$199.53	$245.47	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $380.19	Professional		$141.25	$229.09	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,715.19	Facility		$1,862.09	$5,623.41	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $346.74	Professional		$138.04	$213.80	$346.74