Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $2,415.39 / $6,009.74	Facility		$90.81	$2,415.39	$6,009.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $129.47 / $213.60	Professional		$87.36	$129.47	$213.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $105.18 / $170.32	Professional		$71.92	$105.18	$170.32
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 $84.20 / $120.87 / $189.01	Professional		$84.20	$120.87	$189.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $116.04 / $134.88	Facility		$96.70	$116.04	$134.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $154.26 / $189.32	Professional		$140.24	$154.26	$189.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $140.02 / $140.02	Facility		$140.02	$140.02	$140.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $142.93 / $226.62	Professional		$94.31	$142.93	$226.62
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 $114.61 / $148.71 / $238.23	Professional		$114.61	$148.71	$238.23