Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $374.58 / $5,634.00	Facility		$47.02	$374.58	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $129.72 / $190.79	Professional		$47.02	$129.72	$190.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $162.78 / $162.78	Professional		$162.78	$162.78	$162.78
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 $47.39 / $94.63 / $161.81	Professional		$47.39	$94.63	$161.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $66.44 / $191.31	Facility		$45.62	$66.44	$191.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $165.12 / $200.87	Professional		$137.60	$165.12	$200.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $149.56 / $149.56	Facility		$149.56	$149.56	$149.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $121.39 / $209.99	Professional		$62.75	$121.39	$209.99
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 $116.93 / $155.91 / $249.67	Professional		$116.93	$155.91	$249.67