Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.67 / $731.00 / $7,212.00	Facility		$166.67	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $270.25 / $316.98	Professional		$166.67	$270.25	$316.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Professional		$136.63	$136.63	$136.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $241.94 / $359.28	Professional		$166.26	$241.94	$359.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $236.85 / $419.94	Facility		$162.60	$236.85	$419.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $365.71 / $440.94	Professional		$304.76	$365.71	$440.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $299.70 / $450.93	Professional		$207.94	$299.70	$450.93
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 $256.83 / $328.04 / $544.58	Professional		$256.83	$328.04	$544.58