Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $550.83 / $5,634.00	Facility		$123.44	$550.83	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $176.15 / $258.52	Professional		$123.44	$176.15	$258.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $108.37 / $262.42	Professional		$108.37	$108.37	$262.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $174.74 / $243.34	Professional		$120.77	$174.74	$243.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.76 / $175.89 / $283.12	Facility		$120.76	$175.89	$283.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.98 / $247.18 / $297.27	Professional		$205.98	$247.18	$297.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $196.38 / $196.38	Facility		$196.38	$196.38	$196.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $200.17 / $315.42	Professional		$129.59	$200.17	$315.42
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 $172.69 / $226.03 / $365.70	Professional		$172.69	$226.03	$365.70