Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.47 / $4,846.00 / $10,559.17	Facility		$88.47	$4,846.00	$10,559.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $119.79 / $169.53	Professional		$88.47	$119.79	$169.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $116.75 / $128.30	Professional		$116.75	$116.75	$128.30
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 $82.80 / $118.97 / $177.20	Professional		$82.80	$118.97	$177.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $127.63 / $177.97	Facility		$87.63	$127.63	$177.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $153.96 / $186.87	Professional		$128.30	$153.96	$186.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.38 / $134.38	Facility		$134.38	$134.38	$134.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $140.66 / $228.04	Professional		$94.17	$140.66	$228.04
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 $107.46 / $135.99 / $217.55	Professional		$107.46	$135.99	$217.55