Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $532.09 / $1,386.00	Facility		$94.12	$532.09	$1,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $89.43 / $178.82	Professional		$48.25	$89.43	$178.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $66.63 / $139.31	Professional		$44.46	$66.63	$139.31
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 $69.64 / $127.57 / $226.22	Professional		$69.64	$127.57	$226.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $62.71 / $73.16	Facility		$52.26	$62.71	$73.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $112.27 / $137.78	Professional		$102.06	$112.27	$137.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $125.18 / $194.87	Professional		$67.13	$125.18	$194.87
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 $85.53 / $122.47 / $191.68	Professional		$85.53	$122.47	$191.68