Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,187.76 / $5,623.41	Facility		$112.20	$2,187.76	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $194.98	Professional		$83.18	$97.72	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 $93.33 / $117.49 / $186.21	Professional		$93.33	$117.49	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $107.15	Facility		$91.20	$95.50	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $275.42	Facility		$97.72	$158.49	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $295.12	Professional		$95.50	$128.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $6,456.54	Facility		$1,348.96	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $173.78	Professional		$85.11	$109.65	$173.78