Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.90 / $543.00 / $5,634.00	Facility		$157.90	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $214.90 / $373.10	Professional		$120.64	$214.90	$373.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $214.66 / $214.66	Professional		$138.57	$214.66	$214.66
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 $121.02 / $184.39 / $284.69	Professional		$121.02	$184.39	$284.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $172.52 / $325.42	Facility		$118.44	$172.52	$325.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $283.07 / $341.69	Professional		$235.89	$283.07	$341.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.99 / $237.99 / $237.99	Facility		$237.99	$237.99	$237.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $226.20 / $362.21	Professional		$145.63	$226.20	$362.21
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 $189.62 / $241.32 / $404.23	Professional		$189.62	$241.32	$404.23