Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $114.57 / $4,846.00	Facility		$52.48	$114.57	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $99.32 / $200.09	Professional		$52.48	$99.32	$200.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $148.34 / $152.90	Professional		$122.32	$148.34	$152.90
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 $53.17 / $82.56 / $122.72	Professional		$53.17	$82.56	$122.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $68.41 / $79.81	Facility		$57.01	$68.41	$79.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $134.55 / $165.13	Professional		$122.32	$134.55	$165.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.11 / $123.11 / $123.11	Facility		$123.11	$123.11	$123.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $97.02 / $186.70	Professional		$62.43	$97.02	$186.70
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 $91.49 / $129.72 / $206.77	Professional		$91.49	$129.72	$206.77