Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $1,289.19 / $6,942.72	Facility		$100.06	$1,289.19	$6,942.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $158.37 / $308.33	Professional		$99.78	$158.37	$308.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $132.22 / $217.95	Professional		$132.22	$132.22	$217.95
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 $84.14 / $142.24 / $209.68	Professional		$84.14	$142.24	$209.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $112.45 / $130.94	Facility		$93.71	$112.45	$130.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $159.83 / $196.16	Professional		$145.30	$159.83	$196.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $133.94 / $133.94	Facility		$133.94	$133.94	$133.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $180.91 / $276.92	Professional		$115.35	$180.91	$276.92
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $189.75 / $271.00	Professional		$120.45	$189.75	$271.00