Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $329.95 / $5,634.00	Facility		$45.71	$329.95	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $84.32 / $134.58	Professional		$45.71	$84.32	$134.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Professional		$146.59	$146.59	$146.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $91.71 / $188.73	Professional		$45.56	$91.71	$188.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $64.59 / $105.57	Facility		$20.82	$64.59	$105.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $95.08 / $125.75	Professional		$21.86	$95.08	$125.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $125.07 / $248.51	Professional		$67.73	$125.07	$248.51
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 $93.98 / $140.46 / $200.53	Professional		$93.98	$140.46	$200.53