Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $615.54 / $4,846.00	Facility		$126.00	$615.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $210.47 / $360.39	Professional		$126.00	$210.47	$360.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.87 / $259.45 / $352.31	Professional		$234.87	$259.45	$352.31
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 $124.33 / $178.42 / $299.64	Professional		$124.33	$178.42	$299.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $165.54 / $193.03	Facility		$137.94	$165.54	$193.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.87 / $258.36 / $317.07	Professional		$234.87	$258.36	$317.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.89 / $241.89 / $241.89	Facility		$241.89	$241.89	$241.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $213.18 / $345.57	Professional		$141.03	$213.18	$345.57
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 $179.21 / $244.09 / $391.69	Professional		$179.21	$244.09	$391.69