Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $261.14 / $4,846.00	Facility		$77.63	$261.14	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $145.12 / $206.32	Professional		$77.63	$145.12	$206.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $116.34 / $116.34	Professional		$116.34	$116.34	$116.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $185.72 / $283.10	Professional		$111.22	$185.72	$283.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $108.63 / $216.70	Facility		$74.58	$108.63	$216.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.82 / $189.38 / $227.54	Professional		$157.82	$189.38	$227.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $195.00 / $293.85	Professional		$107.69	$195.00	$293.85
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 $133.16 / $183.97 / $295.94	Professional		$133.16	$183.97	$295.94