Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $1,386.00 / $7,887.22	Facility		$69.80	$1,386.00	$7,887.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $103.64 / $152.21	Professional		$68.73	$103.64	$152.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $146.44 / $172.44	Professional		$88.92	$146.44	$172.44
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 $65.20 / $100.20 / $156.91	Professional		$65.20	$100.20	$156.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $92.50 / $107.30	Facility		$77.08	$92.50	$107.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $126.46 / $155.19	Professional		$114.96	$126.46	$155.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.81 / $121.81 / $121.81	Facility		$121.81	$121.81	$121.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $119.83 / $194.37	Professional		$74.38	$119.83	$194.37
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 $93.29 / $120.35 / $195.08	Professional		$93.29	$120.35	$195.08