Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $1,445.52 / $7,895.33	Facility		$109.70	$1,445.52	$7,895.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $133.74 / $238.00	Professional		$91.42	$133.74	$238.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $131.04 / $174.86	Professional		$78.65	$131.04	$174.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $129.30 / $189.56	Professional		$89.02	$129.30	$189.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $120.19 / $139.90	Facility		$100.16	$120.19	$139.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $158.40 / $194.40	Professional		$144.00	$158.40	$194.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $136.55 / $136.55	Facility		$136.55	$136.55	$136.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $150.51 / $241.90	Professional		$103.18	$150.51	$241.90
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 $120.43 / $156.97 / $248.67	Professional		$120.43	$156.97	$248.67