Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $454.88 / $927.00	Facility		$78.68	$454.88	$927.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $80.97 / $187.83	Professional		$45.30	$80.97	$187.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $74.31 / $136.82	Professional		$68.97	$74.31	$136.82
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 $65.55 / $139.22 / $221.41	Professional		$65.55	$139.22	$221.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $59.45 / $69.36	Facility		$49.54	$59.45	$69.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $110.26 / $135.32	Professional		$100.24	$110.26	$135.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $124.15 / $205.33	Professional		$63.34	$124.15	$205.33
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 $85.26 / $125.05 / $190.28	Professional		$85.26	$125.05	$190.28