Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.52 / $3,500.00 / $5,634.00	Facility		$113.52	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $127.68 / $262.52	Professional		$106.18	$127.68	$262.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $230.08 / $230.08	Professional		$230.08	$230.08	$230.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $144.44 / $156.72	Professional		$0.02	$144.44	$156.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $2,566.80 / $4,079.43	Facility		$171.12	$2,566.80	$4,079.43
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $231.41 / $480.83	Professional		$133.60	$231.41	$480.83