Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $280.08 / $5,634.00	Facility		$59.08	$280.08	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $92.31 / $130.78	Professional		$59.08	$92.31	$130.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $79.28 / $153.01	Facility		$79.28	$79.28	$153.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $87.26 / $128.24	Professional		$64.45	$87.26	$128.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $83.36 / $142.65	Facility		$57.23	$83.36	$142.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $124.55 / $149.79	Professional		$103.79	$124.55	$149.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $103.42 / $162.84	Professional		$73.28	$103.42	$162.84
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 $92.02 / $114.00 / $187.28	Professional		$92.02	$114.00	$187.28