Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $1,386.00 / $5,469.00	Facility		$96.18	$1,386.00	$5,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $143.16 / $284.72	Professional		$84.39	$143.16	$284.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $96.88 / $197.47	Professional		$77.50	$96.88	$197.47
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 $92.41 / $136.50 / $209.92	Professional		$92.41	$136.50	$209.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $126.95 / $147.77	Facility		$105.79	$126.95	$147.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $170.50 / $209.25	Professional		$155.00	$170.50	$209.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $153.02 / $153.02	Facility		$153.02	$153.02	$153.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $161.32 / $258.91	Professional		$107.15	$161.32	$258.91
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 $125.55 / $159.99 / $255.02	Professional		$125.55	$159.99	$255.02