Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.33 / $400.40 / $4,846.00	Facility		$68.33	$400.40	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $103.70 / $159.00	Professional		$59.94	$103.70	$159.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $90.48 / $90.48	Professional		$90.48	$90.48	$90.48
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 $86.49 / $146.46 / $227.01	Professional		$86.49	$146.46	$227.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $84.49 / $162.80	Facility		$58.00	$84.49	$162.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $142.40 / $170.94	Professional		$118.67	$142.40	$170.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $147.11 / $226.79	Professional		$83.64	$147.11	$226.79
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 $100.87 / $146.49 / $224.05	Professional		$100.87	$146.49	$224.05