Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $2,075.04 / $7,622.07	Facility		$80.12	$2,075.04	$7,622.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $105.91 / $193.00	Professional		$62.33	$105.91	$193.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $80.95 / $125.93	Professional		$76.45	$80.95	$125.93
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 $80.23 / $127.18 / $192.08	Professional		$80.23	$127.18	$192.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $78.17 / $91.20	Facility		$65.14	$78.17	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $108.74 / $133.44	Professional		$98.85	$108.74	$133.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $134.61 / $198.03	Professional		$82.81	$134.61	$198.03
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 $90.95 / $133.38 / $204.06	Professional		$90.95	$133.38	$204.06