Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.65 / $543.00 / $5,634.00	Facility		$148.65	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $190.41 / $274.10	Professional		$148.65	$190.41	$274.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $178.33 / $178.33	Professional		$178.33	$178.33	$178.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $188.72 / $270.38	Professional		$143.53	$188.72	$270.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $212.91 / $282.30	Facility		$146.16	$212.91	$282.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $247.70 / $296.41	Professional		$206.42	$247.70	$296.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $182.50 / $182.50	Facility		$182.50	$182.50	$182.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $233.83 / $363.00	Professional		$167.61	$233.83	$363.00
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 $156.19 / $216.49 / $352.75	Professional		$156.19	$216.49	$352.75