Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $791.17 / $5,634.00	Facility		$134.41	$791.17	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $204.48 / $321.00	Professional		$134.41	$204.48	$321.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $141.03 / $267.95	Professional		$110.70	$141.03	$267.95
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 $131.01 / $190.50 / $274.14	Professional		$131.01	$190.50	$274.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.43 / $176.92 / $206.40	Facility		$147.43	$176.92	$206.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.40 / $243.54 / $298.89	Professional		$221.40	$243.54	$298.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.37 / $209.37 / $209.37	Facility		$209.37	$209.37	$209.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $215.96 / $337.62	Professional		$138.18	$215.96	$337.62
United Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $2,049.00 / $4,395.00	Facility		$334.84	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $241.16 / $385.31	Professional		$178.10	$241.16	$385.31