Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $522.82 / $4,846.00	Facility		$86.50	$522.82	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $147.28 / $276.25	Professional		$85.84	$147.28	$276.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $73.78 / $195.74	Professional		$73.78	$73.78	$195.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $130.56 / $196.99	Professional		$81.95	$130.56	$196.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $124.01 / $307.64	Facility		$85.14	$124.01	$307.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $264.06 / $323.02	Professional		$220.05	$264.06	$323.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.93 / $257.93 / $257.93	Facility		$257.93	$257.93	$257.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $168.89 / $328.83	Professional		$98.07	$168.89	$328.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $197.34 / $325.61	Professional		$149.61	$197.34	$325.61