Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.55 / $700.22 / $5,634.00	Facility		$118.55	$700.22	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $125.78 / $247.03	Professional		$86.35	$125.78	$247.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $105.70 / $186.53	Professional		$74.56	$105.70	$186.53
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 $64.23 / $107.30 / $193.50	Professional		$64.23	$107.30	$193.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $115.67 / $134.13	Facility		$96.39	$115.67	$134.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $150.32 / $184.48	Professional		$136.65	$150.32	$184.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $137.85 / $137.85	Facility		$137.85	$137.85	$137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $139.85 / $243.86	Professional		$85.54	$139.85	$243.86
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 $113.14 / $143.80 / $236.31	Professional		$113.14	$143.80	$236.31