Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.81 / $1,467.29 / $7,954.00	Facility		$192.81	$1,467.29	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $230.73 / $314.07	Professional		$160.68	$230.73	$314.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $157.63 / $189.17	Professional		$126.12	$157.63	$189.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $4,097.10 / $8,230.00	Facility		$1,042.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $217.23 / $311.83	Professional		$155.76	$217.23	$311.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $211.06 / $246.23	Facility		$175.88	$211.06	$246.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $277.45 / $340.51	Professional		$252.23	$277.45	$340.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.29 / $226.29 / $226.29	Facility		$226.29	$226.29	$226.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $246.02 / $387.15	Professional		$160.31	$246.02	$387.15
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 $197.56 / $268.51 / $432.25	Professional		$197.56	$268.51	$432.25