Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.79 / $678.05 / $4,846.00	Facility		$140.79	$678.05	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $236.95 / $414.66	Professional		$140.79	$236.95	$414.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $438.46 / $438.46	Professional		$438.46	$438.46	$438.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $202.60 / $322.76	Professional		$140.62	$202.60	$322.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $184.66 / $215.43	Facility		$153.88	$184.66	$215.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.19 / $278.51 / $341.81	Professional		$253.19	$278.51	$341.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Facility		$251.86	$251.86	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $254.01 / $420.36	Professional		$166.97	$254.01	$420.36
United Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $2,049.00 / $4,395.00	Facility		$334.84	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $264.20 / $423.23	Professional		$204.04	$264.20	$423.23