Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $620.26 / $7,954.00	Facility		$135.97	$620.26	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $186.25 / $270.85	Professional		$135.97	$186.25	$270.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $101.07 / $183.95	Professional		$91.97	$101.07	$183.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $171.81 / $261.30	Professional		$130.25	$171.81	$261.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.10 / $195.33 / $276.44	Facility		$134.10	$195.33	$276.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $242.57 / $290.26	Professional		$202.14	$242.57	$290.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $212.52 / $332.62	Professional		$143.60	$212.52	$332.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $215.17 / $344.69	Professional		$164.91	$215.17	$344.69