Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.05 / $976.53 / $7,212.00	Facility		$151.05	$976.53	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $223.58 / $353.25	Professional		$151.05	$223.58	$353.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $151.26 / $418.73	Professional		$151.26	$151.26	$418.73
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 $148.91 / $219.89 / $319.79	Professional		$148.91	$219.89	$319.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $214.99 / $331.78	Facility		$147.60	$214.99	$331.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.02 / $257.14 / $348.36	Professional		$242.02	$257.14	$348.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $221.09 / $221.09	Facility		$221.09	$221.09	$221.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $256.11 / $416.22	Professional		$176.03	$256.11	$416.22
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 $204.70 / $277.52 / $472.55	Professional		$204.70	$277.52	$472.55