Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.03 / $807.07 / $4,846.00	Facility		$166.03	$807.07	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $264.12 / $364.67	Professional		$166.03	$264.12	$364.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $172.34 / $354.04	Professional		$128.87	$172.34	$354.04
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 $171.40 / $245.74 / $358.93	Professional		$171.40	$245.74	$358.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $218.20 / $254.56	Facility		$181.83	$218.20	$254.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $311.55 / $382.36	Professional		$283.23	$311.55	$382.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $268.77 / $268.77	Facility		$268.77	$268.77	$268.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $278.95 / $439.30	Professional		$188.56	$278.95	$439.30
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 $229.98 / $297.16 / $475.89	Professional		$229.98	$297.16	$475.89