Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $1,756.04 / $9,652.79	Facility		$110.69	$1,756.04	$9,652.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $145.30 / $206.84	Professional		$109.34	$145.30	$206.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $199.25	Professional		$88.54	$88.54	$199.25
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 $106.01 / $146.29 / $209.40	Professional		$106.01	$146.29	$209.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $158.34 / $215.80	Facility		$108.71	$158.34	$215.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $187.68 / $226.59	Professional		$156.40	$187.68	$226.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $151.29 / $151.29	Facility		$151.29	$151.29	$151.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $173.61 / $268.19	Professional		$119.01	$173.61	$268.19
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 $129.19 / $168.50 / $267.12	Professional		$129.19	$168.50	$267.12