Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $127.35 / $4,846.00	Facility		$59.21	$127.35	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $113.62 / $171.71	Professional		$59.21	$113.62	$171.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $139.16 / $164.40	Professional		$123.61	$139.16	$164.40
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 $60.08 / $97.55 / $151.44	Professional		$60.08	$97.55	$151.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $84.32 / $187.46	Facility		$57.89	$84.32	$187.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $163.01 / $196.83	Professional		$135.84	$163.01	$196.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $118.17 / $207.56	Professional		$71.94	$118.17	$207.56
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 $105.56 / $147.34 / $236.46	Professional		$105.56	$147.34	$236.46