Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $5,623.41	Facility		$66.07	$169.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $194.98	Professional		$53.70	$112.20	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $50.12 / $91.20 / $151.36	Professional		$50.12	$91.20	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $69.18	Facility		$58.88	$61.66	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $251.19	Facility		$67.61	$141.25	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $251.19	Professional		$61.66	$123.03	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $10,964.78	Facility		$2,691.53	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $181.97	Professional		$57.54	$109.65	$181.97